GREENBRIER VMC LLC
NPI 1053445981
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Ronceverte, WV

NPI Status: Active since March 15, 2007

Contact Information

18 RED OAKS SHOPPING CTR
RONCEVERTE, WV
ZIP 24970
Phone: (214) 473-3993

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  • Organization
  • Thoracic Surgery (Cardiothoracic Vascula...
  • CLIA Number: 51D2015710
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About GREENBRIER VMC LLC

This page provides the complete NPI Profile along with additional information for Greenbrier Vmc Llc, a provider established in Ronceverte, West Virginia operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1053445981 assigned on March 2007. The practitioner's primary taxonomy code is 208G00000X with license number 14947 (WV). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Rebecca Hurley (Sr. Vice President)

NPI
1053445981
Provider Name
GREENBRIER VMC LLC
Entity Type
Organization
Location Address
18 RED OAKS SHOPPING CTR RONCEVERTE, WV 24970
Location Phone
(214) 473-3993
Mailing Address
5800 TENNYSON PKWY PLANO, TX 75024
Mailing Phone
(214) 473-3993
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License No.
14947
License State
WV
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REBECCA HURLEY

Authorized Official Title
SR. VICE PRESIDENT
Authorized Official Phone
(214) 473-3993

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D2015710
Facility Type
Community Clinic
Certificate Effective Date
November 02, 2010
Certificate Expiration Date
May 22, 2026
Laboratory Director
DIRK STANLEY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Greenbrier Vmc Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053445981, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 8 + 4 + 1 + 0 + 9 + 1 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1053445981.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053445981, enumerated as an "organization" on March 15, 2007.

The provider is located at 18 RED OAKS SHOPPING CTR RONCEVERTE, WV 24970 and the phone number is (214) 473-3993.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.