THE SPINE, ORTHOPEDIC AND PAIN CENTER
NPI 1104060714
Physical Medicine & Rehabilitation - Pain Medicine in West Valley City, UT

NPI Status: Active since April 27, 2009

Contact Information

4052 W PIONEER PARKWAY
SUITE 208
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 955-1232
Fax: (801) 955-1543

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • Accepts Insurance

About THE SPINE, ORTHOPEDIC AND PAIN CENTER

This page provides the complete NPI Profile along with additional information for The Spine, Orthopedic And Pain Center, a provider established in West Valley City, Utah operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1104060714 assigned on April 2009. The practitioner's primary taxonomy code is 2081P2900X with license number 89180152-1205 (UT). The provider is registered as an organization and their NPI record was last updated 17 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 The Spine, Orthopedic And Pain Center. The authorized official of this NPI record is Dr. Timothy Grange Md (Owner)

NPI
1104060714
Provider Legal Name
COMPREHENSIVE MEDICAL MANAGEMENT, PC
Other Organization Name
THE SPINE, ORTHOPEDIC AND PAIN CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4052 W PIONEER PARKWAY SUITE 208 WEST VALLEY CITY, UT 84120
Location Phone
(801) 955-1232
Location Fax
(801) 955-1543
Mailing Address
4052 W PIONEER PARKWAY SUITE 208 WEST VALLEY CITY, UT 84120
Mailing Phone
(801) 955-1232
Mailing Fax
(801) 955-1543
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2009
Last Update Date
07-06-2009
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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

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
License No.
89180152-1205
License State
UT
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO

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. TIMOTHY GRANGE MD

Authorized Official Title
OWNER
Authorized Official Phone
(801) 955-1232

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
E98197MEDICARE UPIN (02)UT 

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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 1104060714, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 0 → 0 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 + 6 + 0 + 7 + 2 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1104060714.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104060714, enumerated as an "organization" on April 27, 2009.

The provider is located at 4052 W PIONEER PARKWAY SUITE 208 WEST VALLEY CITY, UT 84120 and the phone number is (801) 955-1232.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.