CLINTON COUNTY SURGICAL ASSOC LLC
NPI 1053688861
Surgery in Wilmington, OH

NPI Status: Active since November 22, 2011

Contact Information

630 W MAIN ST
SUITE 101
WILMINGTON, OH
ZIP 45177
Phone: (937) 383-4111
Fax: (937) 383-1201

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  • Organization
  • Surgery

About CLINTON COUNTY SURGICAL ASSOC LLC

This page provides the complete NPI Profile along with additional information for Clinton County Surgical Assoc Llc, a provider established in Wilmington, Ohio operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1053688861 assigned on November 2011. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 15 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 Clinton County Surgical Assoc Llc. The authorized official of this NPI record is Daniel D Haibach (Director Business Development)

NPI
1053688861
Provider Legal Name
GREENE MEMORIAL HOSPITAL SERVICES, INC
Other Organization Name
CLINTON COUNTY SURGICAL ASSOC LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
630 W MAIN ST SUITE 101 WILMINGTON, OH 45177
Location Phone
(937) 383-4111
Location Fax
(937) 383-1201
Mailing Address
2110 LEITER RD MIAMISBURG, OH 45342
Mailing Phone
(937) 384-4838
Mailing Fax
(937) 383-1201
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-22-2011
Last Update Date
11-22-2011
Code Navigator

A surgeon like Clinton County Surgical Assoc Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DANIEL D HAIBACH

Authorized Official Title
DIRECTOR BUSINESS DEVELOPMENT
Authorized Official Phone
(937) 558-3222

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2639630MEDICAID (05)OH 
9273677MEDICARE PIN (08)OH 

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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 1053688861, 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
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 6 → 12 → 3 8 → 16 → 7 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 + 2 + 8 + 1 + 6 + 8 + 1 + 2 + 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 1053688861.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Orthopaedic Surgery
630 W MAIN ST, SUITE 102
WILMINGTON, OH 45177
Orthopaedic Surgery
630 W MAIN ST, SUITE 109
WILMINGTON, OH 45177
Internal Medicine (Nephrology)
630 W MAIN ST, SUITE 209
WILMINGTON, OH 45177
Surgery
630 W MAIN ST, SUITE 308
WILMINGTON, OH 45177
Orthopaedic Surgery
630 W MAIN ST, SUITE 102
WILMINGTON, OH 45177
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
630 W MAIN ST, SUITE 209
WILMINGTON, OH 45177
Plastic Surgery
630 W MAIN ST, SUITE 304
WILMINGTON, OH 45177
Podiatrist (Foot & Ankle Surgery)
630 W MAIN ST, SUITE 203
WILMINGTON, OH 45177
Podiatrist (Foot & Ankle Surgery)
630 W MAIN ST, SUITE 203
WILMINGTON, OH 45177
Surgery (Vascular Surgery)
630 W MAIN ST, SUITE 300
WILMINGTON, OH 45177
Surgery
630 W MAIN ST, SUITE 200
WILMINGTON, OH 45177
Obstetrics & Gynecology
630 W MAIN ST, SUITE 307
WILMINGTON, OH 45177
Nurse Practitioner (Women's Health)
630 W MAIN ST, SUITE 307
WILMINGTON, OH 45177
Otolaryngology
630 W MAIN ST, SUITE 105
WILMINGTON, OH 45177
Internal Medicine (Nephrology)
630 W MAIN ST, SUITE 209
WILMINGTON, OH 45177
Internal Medicine (Nephrology)
630 W MAIN ST, SUITE 209
WILMINGTON, OH 45177
Nurse Practitioner (Women's Health)
630 W MAIN ST
WILMINGTON, OH 45177

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053688861, enumerated as an "organization" on November 22, 2011.

The provider is located at 630 W MAIN ST SUITE 101 WILMINGTON, OH 45177 and the phone number is (937) 383-4111.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.