MOUNTAIN STATES HEALTH ALLIANCE
NPI 1124426259
Pediatrics in Johnson City, TN
NPI Status: Active since December 05, 2014
Contact Information
400 N STATE OF FRANKLIN RD
NISWONGER CHILDREN'S HOSPITAL ADMIN
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-4847
Fax: (423) 431-3949
- Organization
- Pediatrics
About MOUNTAIN STATES HEALTH ALLIANCE
This page provides the complete NPI Profile along with additional information for Mountain States Health Alliance, a pediatrician established in Johnson City, Tennessee operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1124426259 assigned on December 2014. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 8 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 authorized official of this NPI record is Mary Lynn Krutak (Evp/cfo)
- NPI
- 1124426259
- Provider Name
- MOUNTAIN STATES HEALTH ALLIANCE
- Entity Type
- Organization
- Location Address
- 400 N STATE OF FRANKLIN RD NISWONGER CHILDREN'S HOSPITAL ADMIN JOHNSON CITY, TN 37604
- Location Phone
- (423) 431-4847
- Location Fax
- (423) 431-3949
- Mailing Address
- 311 PRINCETON RD STE 1 JOHNSON CITY, TN 37601
- Mailing Phone
- (423) 431-4847
- Mailing Fax
- (423) 431-3949
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2014
- Last Update Date
- 02-26-2018
- Code Navigator
A pediatrician like Mountain States Health Alliance is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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) |
|---|---|---|---|---|
| 1 | 2080P0203X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 2 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| Q010765 | MEDICAID (05) | TN |
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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 1124426259, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124426259, enumerated as an "organization" on December 05, 2014.
The provider is located at 400 N STATE OF FRANKLIN RD NISWONGER CHILDREN'S HOSPITAL ADMIN JOHNSON CITY, TN 37604 and the phone number is (423) 431-4847.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
