SEASONS PLASTIC & RECONSTRUCTIVE SURGERY
NPI 1073757464
Surgery - Plastic and Reconstructive Surgery in Ponderay, ID
NPI Status: Active since April 29, 2009
Contact Information
30544 HIGHWAY 200
SUITE 102
PONDERAY, ID
ZIP 83852
Phone: (208) 263-5900
Fax: (208) 263-1319
- Organization
- Surgery
- Plastic and Reconstructive Surgery
About SEASONS PLASTIC & RECONSTRUCTIVE SURGERY
This page provides the complete NPI Profile along with additional information for Seasons Plastic & Reconstructive Surgery, a provider established in Ponderay, Idaho operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1073757464 assigned on April 2009. The practitioner's primary taxonomy code is 2086S0122X with license number M10671 (ID). The provider is registered as an organization and their NPI record was last updated 17 years ago. Seasons Plastic & Reconstructive Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Seasons Plastic & Reconstructive Surgery. The authorized official of this NPI record is Wendy S Brosnahan (Office Manager)
- NPI
- 1073757464
- Provider Legal Name
- MICHAEL R DIBENEDETTO MD PLLC
- Other Organization Name
- SEASONS PLASTIC & RECONSTRUCTIVE SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 30544 HIGHWAY 200 SUITE 102 PONDERAY, ID 83852
- Location Phone
- (208) 263-5900
- Location Fax
- (208) 263-1319
- Mailing Address
- 30544 HIGHWAY 200 SUITE 102 PONDERAY, ID 83852
- Mailing Phone
- (208) 263-5900
- Mailing Fax
- (208) 263-1319
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-29-2009
- Last Update Date
- 10-21-2009
- Code Navigator
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 Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M10671
- License State
- ID
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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.
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.
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 |
|---|---|---|---|
| 1106682 | MEDICARE PIN (08) | ID | |
| DG3627 | OTHER (01) | ID | RAIL ROAD MEDICARE |
| 8N834 | OTHER (01) | ID | BLUE CROSS |
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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 1073757464, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
PONDERAY, ID 83852
PONDERAY, ID 83852
PONDERAY, ID 83852
PONDERAY, ID 83852
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073757464, enumerated as an "organization" on April 29, 2009.
The provider is located at 30544 HIGHWAY 200 SUITE 102 PONDERAY, ID 83852 and the phone number is (208) 263-5900.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
