HEALING EDGE MEDICAL ASSOCIATES LLC
NPI 1134450828
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in East Granby, CT

NPI Status: Active since January 20, 2010

Contact Information

29 KRIPES RD
SUITE M
EAST GRANBY, CT
ZIP 06026
Phone: (860) 413-3883
Fax: (860) 413-3884

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  • Organization
  • Preventive Medicine
  • Preventive Medicine/Occupational Environ...

About HEALING EDGE MEDICAL ASSOCIATES LLC

This page provides the complete NPI Profile along with additional information for Healing Edge Medical Associates Llc, a provider established in East Granby, Connecticut operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1134450828 assigned on January 2010. The practitioner's primary taxonomy code is 2083P0500X with license number 036511 (CT). The provider is registered as an organization and their NPI record was last updated 13 years ago. Healing Edge Medical Associates 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 Dr. Ronald Dale Agnes Jr. M.d. (President/physician)

NPI
1134450828
Provider Name
HEALING EDGE MEDICAL ASSOCIATES LLC
Entity Type
Organization
Location Address
29 KRIPES RD SUITE M EAST GRANBY, CT 06026
Location Phone
(860) 413-3883
Location Fax
(860) 413-3884
Mailing Address
PO BOX 152 SIMSBURY, CT 06070
Mailing Phone
(860) 978-8825
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2010
Last Update Date
06-19-2013
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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

Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Taxonomy Code
2083P0500X
Type
Allopathic & Osteopathic Physicians
License No.
036511
License State
CT
Taxonomy Description
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

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)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

036511 (CT)

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

DR. RONALD DALE AGNES JR. M.D.

Authorized Official Title
PRESIDENT/PHYSICIAN
Authorized Official Phone
(860) 978-8825

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
F23694MEDICARE UPIN (02)IL 
J13195OTHER (01)ILMEDICARE
3097037MEDICAID (05)IL 

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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 1134450828, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 3 → 6 4 → 8 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 8 + 5 + 0 + 8 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1134450828.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dietitian, Registered
29 KRIPES RD
EAST GRANBY, CT 06026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134450828, enumerated as an "organization" on January 20, 2010.

The provider is located at 29 KRIPES RD SUITE M EAST GRANBY, CT 06026 and the phone number is (860) 413-3883.

Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.

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