SANDSTONE MEDICAL
NPI 1134772270
Clinic/Center - Multi-Specialty in Montgomery, TX
NPI Status: Active since July 18, 2019
Contact Information
795 FISH CREEK THOROUGHFARE STE 270
MONTGOMERY, TX
ZIP 77316
Phone: (281) 203-0070
Fax: (936) 436-8114
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 45D2177699
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-15-2026
About SANDSTONE MEDICAL
This page provides the complete NPI Profile along with additional information for Sandstone Medical, a provider established in Montgomery, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1134772270 assigned on July 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Tony Wesley Deramus Dc (President)
- NPI
- 1134772270
- Provider Name
- SANDSTONE MEDICAL
- Entity Type
- Organization
- Location Address
- 795 FISH CREEK THOROUGHFARE STE 270 MONTGOMERY, TX 77316
- Location Phone
- (281) 203-0070
- Location Fax
- (936) 436-8114
- Mailing Address
- 1803 W WHITE OAK TER STE B CONROE, TX 77304
- Mailing Phone
- (281) 203-0070
- Mailing Fax
- (936) 436-8114
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2019
- Last Update Date
- 07-18-2019
- Code Navigator
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2177699
- Facility Type
- Physician Office
- Certificate Effective Date
- January 16, 2024
- Certificate Expiration Date
- January 15, 2026
- Laboratory Director
- MEAGAN MITCHELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sandstone Medical to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 7 | 7 | 2 | 2 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 14 | 7 | 4 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 4 + 7 + 4 + 2 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1134772270 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
MRS. DIONNE LADONNA MASSIAH NP
Nurse Practitioner
(Adult Health)
795 FISH CREEK THOROUGHFARE STE 270
MONTGOMERY, TX
ZIP 77316
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134772270, enumerated as an "organization" on July 18, 2019.
The provider is located at 795 FISH CREEK THOROUGHFARE STE 270 MONTGOMERY, TX 77316 and the phone number is (281) 203-0070.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
