GRAND BLANC PLASTIC SURGERY
NPI 1104005917
Specialist in Grand Blanc, MI

NPI Status: Active since October 29, 2007

Contact Information

3595 GENESYS PKWY
GRAND BLANC, MI
ZIP 48439
Phone: (810) 606-7888

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  • Organization
  • Specialist

About GRAND BLANC PLASTIC SURGERY

This page provides the complete NPI Profile along with additional information for Grand Blanc Plastic Surgery, a provider established in Grand Blanc, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1104005917 assigned on October 2007. The practitioner's primary taxonomy code is 174400000X with license number 4301070280 (MI). The provider is registered as an organization and their NPI record was last updated 19 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 other name is Grand Blanc Plastic Surgery. The authorized official of this NPI record is Dr. Kimberly Ann Pummill Md (Doctor)

NPI
1104005917
Provider Legal Name
KIMBERLY A PUMMILL MD PC
Other Organization Name
GRAND BLANC PLASTIC SURGERY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3595 GENESYS PKWY GRAND BLANC, MI 48439
Location Phone
(810) 606-7888
Mailing Address
3595 GENESYS PKWY GRAND BLANC, MI 48439
Mailing Phone
(810) 606-7888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2007
Last Update Date
11-27-2007
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
4301070280
License State
MI
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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.

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

DR. KIMBERLY ANN PUMMILL MD

Authorized Official Title
DOCTOR
Authorized Official Phone
(810) 606-7888

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
6U4349OTHER (01)HAP
14465OTHER (01)MCARE
7319368OTHER (01)AETNA
OP13640MEDICARE PIN (08)MI 
0251130OTHER (01)MIBLUE CROSS
0993473OTHER (01)MIHEALTH PLUS

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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 1104005917, 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 0 → 0 0 → 0 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 0 + 1 + 0 + 9 + 2 + 24 = 43

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

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104005917.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104005917, enumerated as an "organization" on October 29, 2007.

The provider is located at 3595 GENESYS PKWY GRAND BLANC, MI 48439 and the phone number is (810) 606-7888.

Specialist with taxonomy code 174400000X.

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