CHESAPEAKE WELLNESS CENTER
NPI 1083163307
Family Medicine - Addiction Medicine in Cecilton, MD
NPI Status: Active since September 28, 2016
Contact Information
251 S BOHEMIA AVE
CECILTON, MD
ZIP 21913
Phone: (410) 275-8156
Fax: (877) 433-6830
- Organization
- Family Medicine
- Addiction Medicine
- CLIA Number: 21D1024274
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-06-2026
About CHESAPEAKE WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for Chesapeake Wellness Center, a provider established in Cecilton, Maryland operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1083163307 assigned on September 2016. The practitioner's primary taxonomy code is 207QA0401X with license number H0056426 (MD). 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 Linda Jean Katz (Sole Member)
- NPI
- 1083163307
- Provider Name
- CHESAPEAKE WELLNESS CENTER
- Entity Type
- Organization
- Location Address
- 251 S BOHEMIA AVE CECILTON, MD 21913
- Location Phone
- (410) 275-8156
- Location Fax
- (877) 433-6830
- Mailing Address
- 79 PORT HERMAN RD CHESAPEAKE CITY, MD 21915
- Mailing Phone
- (410) 275-8156
- Mailing Fax
- (877) 433-6830
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-28-2016
- Last Update Date
- 12-14-2016
- 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
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H0056426
- License State
- MD
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | XK8322339 (MD) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | R177831 (MD) |
Group Taxonomy 193400000X MULTIPLE 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
- 21D1024274
- Facility Type
- Physician Office
- Certificate Effective Date
- April 07, 2024
- Certificate Expiration Date
- April 06, 2026
- Laboratory Director
- PAUL M. KATZ DO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Chesapeake Wellness Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1083163307, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. 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.
CECILTON, MD 21913
CECILTON, MD 21913
CECILTON, MD 21913
CECILTON, MD 21913
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083163307, enumerated as an "organization" on September 28, 2016.
The provider is located at 251 S BOHEMIA AVE CECILTON, MD 21913 and the phone number is (410) 275-8156.
Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.