IMAN NURSE PRACTITIONER CENTER
NPI 1124393202
Clinic/Center in Southfield, MI

NPI Status: Active since March 21, 2012

Contact Information

26771 W 12 MILE RD
SUITE 101
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 595-8536
Fax: (248) 809-2043

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  • Organization
  • Clinic/Center

About IMAN NURSE PRACTITIONER CENTER

This page provides the complete NPI Profile along with additional information for Iman Nurse Practitioner Center, a provider established in Southfield, Michigan operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1124393202 assigned on March 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 14 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 Iman Nurse Practitioner Center. The authorized official of this NPI record is Veronica Shivachi-williams Np-c (Nurse Practitioner)

NPI
1124393202
Provider Legal Name
IMAN NP CENTER LLC
Other Organization Name
IMAN NURSE PRACTITIONER CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
26771 W 12 MILE RD SUITE 101 SOUTHFIELD, MI 48034
Location Phone
(248) 595-8536
Location Fax
(248) 809-2043
Mailing Address
26771 W 12 MILE RD SUITE 101 SOUTHFIELD, MI 48034
Mailing Phone
(248) 595-8536
Mailing Fax
(248) 809-2043
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2012
Last Update Date
08-06-2012
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License State
MI
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

 
2363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

 
3363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 
4367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

 

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.

*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

VERONICA SHIVACHI-WILLIAMS NP-C

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(248) 595-8536

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
5008616330OTHER (01)MIBCBS/BCN

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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 1124393202, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 3 → 6 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 6 + 9 + 6 + 2 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124393202.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
26771 W 12 MILE RD
SOUTHFIELD, MI 48034
Ophthalmology
26771 W 12 MILE RD, STE 105
SOUTHFIELD, MI 48034
Physical Therapist
26771 W 12 MILE RD, SUITE # 103
SOUTHFIELD, MI 48034
Physical Therapist
26771 W 12 MILE RD, SUITE # 103
SOUTHFIELD, MI 48034
Physical Therapist
26771 W 12 MILE RD, SUITE 103
SOUTHFIELD, MI 48034
Ophthalmology
26771 W 12 MILE RD, SUITE 105
SOUTHFIELD, MI 48034
Internal Medicine
26771 W 12 MILE RD, STE 110
SOUTHFIELD, MI 48034
Optometrist
26771 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 48034
Eyewear Supplier
26771 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 48034
Optometrist
26771 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 48034
Optometrist
26771 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 48034
Physical Medicine & Rehabilitation
26771 W 12 MILE RD, SUITE 106
SOUTHFIELD, MI 48034
Dentist (General Practice)
26771 W 12 MILE RD, G-115
SOUTHFIELD, MI 48034
Dentist (General Practice)
26771 W 12 MILE RD, SUITE G-115
SOUTHFIELD, MI 48034
Optometrist
26771 W 12 MILE RD
SOUTHFIELD, MI 48034
Dentist (General Practice)
26771 W 12 MILE RD, SUITE G-115
SOUTHFIELD, MI 48034
Internal Medicine (Gastroenterology)
26771 W 12 MILE RD, STE 106
SOUTHFIELD, MI 48034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124393202, enumerated as an "organization" on March 21, 2012.

The provider is located at 26771 W 12 MILE RD SUITE 101 SOUTHFIELD, MI 48034 and the phone number is (248) 595-8536.

Clinic/Center with taxonomy code 261Q00000X.

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