PETRE-JO LLC
NPI 1063876076
Preferred Provider Organization in Madison, TN

NPI Status: Active since April 06, 2016

Contact Information

607 W DUE WEST AVE STE 95
MADISON, TN
ZIP 37115
Phone: (615) 982-8081

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  • Organization
  • Preferred Provider Organization

About PETRE-JO LLC

This page provides the complete NPI Profile along with additional information for Petre-jo Llc, a provider established in Madison, Tennessee operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1063876076 assigned on April 2016. The practitioner's primary taxonomy code is 305R00000X with license number L000000017166 (TN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Peter Konecny (Managing Member)

NPI
1063876076
Provider Name
PETRE-JO LLC
Entity Type
Organization
Location Address
607 W DUE WEST AVE STE 95 MADISON, TN 37115
Location Phone
(615) 982-8081
Mailing Address
858 HARBOUR GREENS PL SPARTA, TN 38583
Mailing Phone
(931) 761-0410
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-06-2016
Last Update Date
04-06-2016
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
L000000017166
License State
TN
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

PETER KONECNY

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(931) 761-0410

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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 1063876076, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 1 + 6 + 7 + 1 + 2 + 0 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1063876076.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063876076, enumerated as an "organization" on April 06, 2016.

The provider is located at 607 W DUE WEST AVE STE 95 MADISON, TN 37115 and the phone number is (615) 982-8081.

Preferred Provider Organization with taxonomy code 305R00000X.