CHAN PARK MD INC
NPI 1104865849
Family Medicine in Slatersville, RI

NPI Status: Active since June 06, 2006

Contact Information

905 VICTORY HIGHWAY
SLATERSVILLE, RI
ZIP 02876
Phone: (401) 762-2728
Fax: (401) 762-0473

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  • Organization
  • Family Medicine

About CHAN PARK MD INC

This page provides the complete NPI Profile along with additional information for Chan Park Md Inc, a primary care provider established in Slatersville, Rhode Island operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1104865849 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MD5083 (RI). The provider is registered as an organization and their NPI record was last updated 18 years ago. Chan Park Md 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 Chan Hoon Park Md (Owner)

NPI
1104865849
Provider Name
CHAN PARK MD INC
Entity Type
Organization
Location Address
905 VICTORY HIGHWAY SLATERSVILLE, RI 02876
Location Phone
(401) 762-2728
Location Fax
(401) 762-0473
Mailing Address
PO BOX 177 905 VICTORY HWY SLATERSVILLE, RI 02876
Mailing Phone
(401) 762-2728
Mailing Fax
(401) 762-0473
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2006
Last Update Date
02-26-2008
Code Navigator

A primary care provider (PCP) like Chan Park Md Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD5083
License State
RI
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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

CHAN HOON PARK MD

Authorized Official Title
OWNER
Authorized Official Phone
(401) 762-2728

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
404332OTHER (01)TUFTS
9001260MEDICAID (05)RI 
12601OTHER (01)RIBLUE CROSS BLUE SHIELD
0100118OTHER (01)UNITED HEALTHCARE
C89954MEDICARE UPIN (02) 
AA26737OTHER (01)HAVARD PILGRIM
001727OTHER (01)RIBCBS BLUE CHIP
0101561OTHER (01)MAEVERCARE

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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 1104865849, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
9
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 8 → 16 → 7 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 6 + 6 + 1 + 0 + 8 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104865849.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
905 VICTORY HIGHWAY
SLATERSVILLE, RI 02876
Physical Therapist
905 VICTORY HIGHWAY
SLATERSVILLE, RI 02876
Physical Therapist
905 VICTORY HIGHWAY
SLATERSVILLE, RI 02876

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104865849, enumerated as an "organization" on June 06, 2006.

The provider is located at 905 VICTORY HIGHWAY SLATERSVILLE, RI 02876 and the phone number is (401) 762-2728.

Family Medicine with taxonomy code 207Q00000X.

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