PORT RECOVERY PHYSICIANS CARE LLC
NPI 1124470356
Internal Medicine in Nottingham, MD

NPI Status: Active since July 12, 2016

Contact Information

8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD
ZIP 21236
Phone: (443) 869-4909
Fax: (443) 869-4928

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  • Organization
  • Internal Medicine

About PORT RECOVERY PHYSICIANS CARE LLC

This page provides the complete NPI Profile along with additional information for Port Recovery Physicians Care Llc, an internist established in Nottingham, Maryland operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1124470356 assigned on July 2016. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Port Recovery Physicians Care Llc 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 Joanne Granruth (Owner)

NPI
1124470356
Provider Name
PORT RECOVERY PHYSICIANS CARE LLC
Entity Type
Organization
Location Address
8615 RIDGELYS CHOICE DR STE 205 NOTTINGHAM, MD 21236
Location Phone
(443) 869-4909
Location Fax
(443) 869-4928
Mailing Address
8615 RIDGELYS CHOICE DR STE 205 NOTTINGHAM, MD 21236
Mailing Phone
(443) 534-8735
Mailing Fax
(443) 869-4928
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2016
Last Update Date
05-30-2025
Code Navigator

An internist like Port Recovery Physicians Care Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

*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

JOANNE GRANRUTH

Authorized Official Title
OWNER
Authorized Official Phone
(410) 534-8735

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
886200100MEDICAID (05)MD 
CP64-0000OTHER (01)MDCAREFIRST BLUECROSS BLUESHEILD

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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 1124470356, 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
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 4 → 8 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 8 + 7 + 0 + 3 + 1 + 0 + 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 1124470356.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Counselor (Mental Health)
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Counselor (Mental Health)
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Clinical Medical Laboratory
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Social Worker (Clinical)
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Psychiatric Residential Treatment Facility
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Community/Behavioral Health
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Substance Abuse Rehabilitation Facility
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Counselor (Addiction (Substance Use Disorder))
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Community/Behavioral Health
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236
Clinic/Center (Mental Health (Including Community Mental Health Center))
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124470356, enumerated as an "organization" on July 12, 2016.

The provider is located at 8615 RIDGELYS CHOICE DR STE 205 NOTTINGHAM, MD 21236 and the phone number is (443) 869-4909.

Internal Medicine with taxonomy code 207R00000X.

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