KHALIL AZEM MD
NPI 1124235346
Otolaryngology in Willoughby, OH

NPI Status: Active since May 17, 2007

Contact Information

36100 EUCLID AVE
#350
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 942-9308
Fax: (440) 942-8981

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  • Organization
  • Otolaryngology

About KHALIL AZEM MD

This page provides the complete NPI Profile along with additional information for Khalil Azem Md, a provider established in Willoughby, Ohio operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1124235346 assigned on May 2007. The practitioner's primary taxonomy code is 207Y00000X with license number 054514 (OH). The provider is registered as an organization and their NPI record was last updated 6 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 Khalil Azem Md. The authorized official of this NPI record is Khalil Azem Md (President)

NPI
1124235346
Provider Legal Name
LAKE ENT INC
Other Organization Name
KHALIL AZEM MD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
36100 EUCLID AVE #350 WILLOUGHBY, OH 44094
Location Phone
(440) 942-9308
Location Fax
(440) 942-8981
Mailing Address
36100 EUCLID AVE #350 WILLOUGHBY, OH 44094
Mailing Phone
(440) 942-9308
Mailing Fax
(440) 942-8981
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
08-22-2020
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
054514
License State
OH
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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:

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

KHALIL AZEM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(440) 942-9308

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
000000131755OTHER (01)OHBLUE CROSS BLUE SHIELD
0652575MEDICAID (05)OH 
351443601003OTHER (01)OHMEDICAL MUTUAL

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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 1124235346, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 2 → 4 2 → 4 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 + 4 + 4 + 4 + 3 + 1 + 0 + 3 + 8 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1124235346.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Otolaryngology
36100 EUCLID AVE, STE 350
WILLOUGHBY, OH 44094
Internal Medicine (Interventional Cardiology)
36100 EUCLID AVE, #300
WILLOUGHBY, OH 44094
Internal Medicine (Cardiovascular Disease)
36100 EUCLID AVE, SUITE 120
WILLOUGHBY, OH 44094
Specialist
36100 EUCLID AVE, SUITE 320
WILLOUGHBY, OH 44094
Internal Medicine
36100 EUCLID AVE, #240
WILLOUGHBY, OH 44094
Nurse Practitioner (Adult Health)
36100 EUCLID AVE
WILLOUGHBY, OH 44094
Internal Medicine (Cardiovascular Disease)
36100 EUCLID AVE, 120 HEART SPECIALISTS INC
WILLOUGHBY, OH 44094
Nurse Practitioner
36100 EUCLID AVE, 120
WILLOUGHBY, OH 44094
Plastic Surgery
36100 EUCLID AVE, #490
WILLOUGHBY, OH 44094
Ophthalmology
36100 EUCLID AVE, SUITE 450
WILLOUGHBY, OH 44094
Specialist
36100 EUCLID AVE, SUITE 330A
WILLOUGHBY, OH 44094
Internal Medicine (Cardiovascular Disease)
36100 EUCLID AVE, SUITE 120
WILLOUGHBY, OH 44094
Surgery
36100 EUCLID AVE
WILLOUGHBY, OH 44094
Internal Medicine (Clinical Cardiac Electrophysiology)
36100 EUCLID AVE, SUITE 400
WILLOUGHBY, OH 44094
Internal Medicine (Rheumatology)
36100 EUCLID AVE, SUITE 170
WILLOUGHBY, OH 44094
Internal Medicine
36100 EUCLID AVE, #430
WILLOUGHBY, OH 44094
Surgery
36100 EUCLID AVE, SUITE 330B
WILLOUGHBY, OH 44094
Internal Medicine (Nephrology)
36100 EUCLID AVE, SUITE 330A
WILLOUGHBY, OH 44094
Ophthalmology
36100 EUCLID AVE, SUITE 450
WILLOUGHBY, OH 44094
Ophthalmology
36100 EUCLID AVE, SUITE 450
WILLOUGHBY, OH 44094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124235346, enumerated as an "organization" on May 17, 2007.

The provider is located at 36100 EUCLID AVE #350 WILLOUGHBY, OH 44094 and the phone number is (440) 942-9308.

Otolaryngology with taxonomy code 207Y00000X.

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