PETER J PRUITT III
NPI 1104454610
Case Manager/Care Coordinator in Bedford, OH
NPI Status: Active since March 30, 2020
Contact Information
767 BROADWAY AVE
BEDFORD, OH
ZIP 44146
Phone: (216) 526-1600
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Case Manager/Care Coordinator
- Accepts Insurance
About PETER PRUITT
This page provides the complete NPI Profile along with additional information for Peter Pruitt, a provider established in Bedford, Ohio with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1104454610 assigned on March 2020. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated August 2025.
- NPI
- 1104454610
- Provider Name
- PETER J PRUITT III
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 767 BROADWAY AVE BEDFORD, OH 44146
- Location Phone
- (216) 526-1600
- Mailing Address
- 6350 SPARROWHAWK WAY OAKWOOD VILLAGE, OH 44146
- Mailing Phone
- (216) 526-1600
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-30-2020
- Last Update Date
- 08-09-2025
- 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
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for PETER J PRUITT III
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 4 | 5 | 4 | 6 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 8 | 5 | 8 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 8 + 5 + 8 + 6 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1104454610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
RAJ SEETHARAMAN MD
Ophthalmology
767 BROADWAY AVE
BEDFORD, OH
ZIP 44146
PETER JAMES BEHAVIORAL HEALTH, INC.
Community/Behavioral Health
767 BROADWAY AVE
BEDFORD, OH
ZIP 44146
LAQUAN WHITE
Case Manager/Care Coordinator
767 BROADWAY AVE
BEDFORD, OH
ZIP 44146
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104454610, enumerated as an "individual" on March 30, 2020.
The provider is located at 767 BROADWAY AVE BEDFORD, OH 44146 and the phone number is (216) 526-1600.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
