WILLOWBEND MEDICAL SERVICES PLLC
NPI 1073988135
Specialist/Technologist, Other - Surgical Assistant in Plano, TX
NPI Status: Active since December 01, 2015
Contact Information
2633 DALLAS PKWY
SUITE 100
PLANO, TX
ZIP 75093
Phone: (972) 403-7733
- Organization
- Specialist/Technologist, Other
- Surgical Assistant
- CLIA Number: 45D0920644
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-26-2026
About WILLOWBEND MEDICAL SERVICES PLLC
This page provides the complete NPI Profile along with additional information for Willowbend Medical Services Pllc, a provider established in Plano, Texas operating as a Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1073988135 assigned on December 2015. The practitioner's primary taxonomy code is 246ZC0007X with license number 136983 (TX). The provider is registered as an organization and their NPI record was last updated 10 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 Jeremiah Graff Dpm (Owner/physician)
- NPI
- 1073988135
- Provider Name
- WILLOWBEND MEDICAL SERVICES PLLC
- Entity Type
- Organization
- Location Address
- 2633 DALLAS PKWY SUITE 100 PLANO, TX 75093
- Location Phone
- (972) 403-7733
- Mailing Address
- 2633 DALLAS PKWY SUITE 100 PLANO, TX 75093
- Mailing Phone
- (972) 403-7733
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-01-2015
- Last Update Date
- 02-15-2016
- 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
Specialist/Technologist, Other Surgical Assistant
- Taxonomy Code
- 246ZC0007X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- 136983
- License State
- TX
- Taxonomy Description
- A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
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.
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
- 45D0920644
- Facility Type
- Physician Office
- Certificate Effective Date
- February 27, 2024
- Certificate Expiration Date
- February 26, 2026
- Laboratory Director
- ROBERT A. COOK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Willowbend Medical Services Pllc 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 1073988135, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
PLANO, TX 75093
PLANO, TX 75093
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073988135, enumerated as an "organization" on December 01, 2015.
The provider is located at 2633 DALLAS PKWY SUITE 100 PLANO, TX 75093 and the phone number is (972) 403-7733.
Specialist/Technologist, Other with taxonomy code 246ZC0007X and a focus in Surgical Assistant.
