GOSHEN SURGICAL ASSOCIATES, INC.
NPI 1093823908
Surgery - Vascular Surgery in Goshen, IN

NPI Status: Active since August 29, 2006

Contact Information

101 MARILYN AVE
SUITE 4
GOSHEN, IN
ZIP 46526
Phone: (574) 533-2769
Fax: (574) 534-6822

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  • Organization
  • Surgery
  • Vascular Surgery

About GOSHEN SURGICAL ASSOCIATES, INC.

This page provides the complete NPI Profile along with additional information for Goshen Surgical Associates, Inc., a provider established in Goshen, Indiana operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1093823908 assigned on August 2006. The practitioner's primary taxonomy code is 2086S0129X with license number 50001564A (IN). The provider is registered as an organization and their NPI record was last updated 15 years ago. Goshen Surgical Associates, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is John W Harley Md (Vice President)

NPI
1093823908
Provider Name
GOSHEN SURGICAL ASSOCIATES, INC.
Entity Type
Organization
Location Address
101 MARILYN AVE SUITE 4 GOSHEN, IN 46526
Location Phone
(574) 533-2769
Location Fax
(574) 534-6822
Mailing Address
101 MARILYN AVE SUITE 4 GOSHEN, IN 46526
Mailing Phone
(574) 533-2769
Mailing Fax
(574) 534-6822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2006
Last Update Date
01-24-2011
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
50001564A
License State
IN
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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)
1208600000XAllopathic & Osteopathic Physicians

Surgery

50001564A (IN)

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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JOHN W HARLEY MD

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(574) 533-2769

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
208030MEDICARE PIN (08)IN 
100384730MEDICAID (05)IN 

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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 1093823908, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 9 → 18 → 9 8 → 16 → 7 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 6 + 2 + 6 + 9 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1093823908.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
101 MARILYN AVE, SUITE 4
GOSHEN, IN 46526
Surgery (Vascular Surgery)
101 MARILYN AVE, SUITE 4
GOSHEN, IN 46526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093823908, enumerated as an "organization" on August 29, 2006.

The provider is located at 101 MARILYN AVE SUITE 4 GOSHEN, IN 46526 and the phone number is (574) 533-2769.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.