PROMEDICA CHILDREN'S SPECIALTIES
NPI 1083959522
Pediatrics - Pediatric Gastroenterology in Monroe, MI

NPI Status: Active since December 11, 2012

Contact Information

730 N MACOMB ST
SUITE 300
MONROE, MI
ZIP 48162
Phone: (419) 291-7010
Fax: (419) 479-6917

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  • Organization
  • Pediatrics
  • Pediatric Gastroenterology

About PROMEDICA CHILDREN'S SPECIALTIES

This page provides the complete NPI Profile along with additional information for Promedica Children's Specialties, a pediatrician established in Monroe, Michigan operating as a Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1083959522 assigned on December 2012. The practitioner's primary taxonomy code is 2080P0206X. The provider is registered as an organization and their NPI record was last updated 5 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 Promedica Children's Specialties. The authorized official of this NPI record is Kristin Knueven (Credentialing Supervisor)

NPI
1083959522
Provider Legal Name
PROMEDICA CENTRAL PHYSICIANS LLC
Other Organization Name
PROMEDICA CHILDREN'S SPECIALTIES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
730 N MACOMB ST SUITE 300 MONROE, MI 48162
Location Phone
(419) 291-7010
Location Fax
(419) 479-6917
Mailing Address
730 N MACOMB ST SUITE 300 MONROE, MI 48162
Mailing Phone
(419) 291-7010
Mailing Fax
(419) 479-6917
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2012
Last Update Date
02-05-2021
Code Navigator

A pediatrician like Promedica Children's Specialties is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics Pediatric Gastroenterology

Taxonomy Code
2080P0206X
Type
Allopathic & Osteopathic Physicians
License State
MI
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

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.

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

KRISTIN KNUEVEN

Authorized Official Title
CREDENTIALING SUPERVISOR
Authorized Official Phone
(567) 585-1969

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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 1083959522, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
2
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 8 → 16 → 7 9 → 18 → 9 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 1 + 8 + 5 + 1 + 8 + 5 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1083959522.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
730 N MACOMB ST, #418
MONROE, MI 48162
Pharmacist
730 N MACOMB ST
MONROE, MI 48162
Specialist
730 N MACOMB ST, STE #429
MONROE, MI 48162
Internal Medicine
730 N MACOMB ST, SUITE 229
MONROE, MI 48162
Otolaryngology
730 N MACOMB ST, SUITE 320
MONROE, MI 48162
Surgery
730 N MACOMB ST, SUITE 329
MONROE, MI 48162
Internal Medicine (Rheumatology)
730 N MACOMB ST, SUITE 320
MONROE, MI 48162
Internal Medicine (Cardiovascular Disease)
730 N MACOMB ST, SUITE 429
MONROE, MI 48162
Internal Medicine (Cardiovascular Disease)
730 N MACOMB ST, STE 429
MONROE, MI 48162
Pain Medicine (Interventional Pain Medicine)
730 N MACOMB ST, SUITE 410
MONROE, MI 48162
Internal Medicine
730 N MACOMB ST, SUITE# 324
MONROE, MI 48162
Obstetrics & Gynecology
730 N MACOMB ST, SUITE 324
MONROE, MI 48162
Pain Medicine (Interventional Pain Medicine)
730 N MACOMB ST, SUITE 410
MONROE, MI 48162
Obstetrics & Gynecology
730 N MACOMB ST, SUITE 324
MONROE, MI 48162
Pharmacist
730 N MACOMB ST, SUITE 305
MONROE, MI 48162
Internal Medicine (Cardiovascular Disease)
730 N MACOMB ST, SUITE 429
MONROE, MI 48162
Surgery
730 N MACOMB ST, SUITE 329
MONROE, MI 48162
Internal Medicine (Cardiovascular Disease)
730 N MACOMB ST, STE 429
MONROE, MI 48162
Urology
730 N MACOMB ST, STE 319
MONROE, MI 48162
Counselor (Professional)
730 N MACOMB ST
MONROE, MI 48162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083959522, enumerated as an "organization" on December 11, 2012.

The provider is located at 730 N MACOMB ST SUITE 300 MONROE, MI 48162 and the phone number is (419) 291-7010.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.