KOLE PLASTIC SURGERY CENTER
NPI 1053517169
Plastic Surgery in Southampton, PA

NPI Status: Active since June 25, 2007

Contact Information

1003 STREET RD
SOUTHAMPTON, PA
ZIP 18966
Phone: (215) 354-1010
Fax: (215) 354-1099

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  • Organization
  • Plastic Surgery
  • CLIA Number: 39D1017649
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-30-2027

About KOLE PLASTIC SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Kole Plastic Surgery Center, a provider established in Southampton, Pennsylvania operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1053517169 assigned on June 2007. The practitioner's primary taxonomy code is 208200000X with license number OS 009149-L (PA). The provider is registered as an organization and their NPI record was last updated 19 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 provider's is doing business as Kole Plastic Surgery Center. The authorized official of this NPI record is Dr. Edward Scott Kole Do (President)

NPI
1053517169
Provider Legal Name
DR. EDWARD S KOLE DO PC
Other Organization Name
KOLE PLASTIC SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1003 STREET RD SOUTHAMPTON, PA 18966
Location Phone
(215) 354-1010
Location Fax
(215) 354-1099
Mailing Address
1003 STREET RD SOUTHAMPTON, PA 18966
Mailing Phone
(215) 354-1010
Mailing Fax
(215) 354-1099
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2007
Last Update Date
08-14-2007
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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

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
OS 009149-L
License State
PA
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

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

DR. EDWARD SCOTT KOLE DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(215) 354-1010

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
39D1017649
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 01, 2025
Certificate Expiration Date
September 30, 2027
Laboratory Director
EDWARD S. KOLE DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kole Plastic Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1053517169, we treat the final digit (9) 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 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

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
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3

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 + 1 + 0 + 1 + 1 + 4 + 1 + 1 + 2 + 24 = 41

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

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053517169.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Plastic Surgery
1003 STREET RD
SOUTHAMPTON, PA 18966

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053517169, enumerated as an "organization" on June 25, 2007.

The provider is located at 1003 STREET RD SOUTHAMPTON, PA 18966 and the phone number is (215) 354-1010.

Plastic Surgery with taxonomy code 208200000X.