UROLOGY GROUP, PC
NPI 1154589901
Urology in Hayti, MO

NPI Status: Active since May 29, 2008

Contact Information

907 E REED ST
HAYTI, MO
ZIP 63851
Phone: (901) 767-8158

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  • Organization
  • Urology
  • CLIA Number: 44D2128687
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-03-2027

About UROLOGY GROUP, PC

This page provides the complete NPI Profile along with additional information for Urology Group, Pc, a provider established in Hayti, Missouri operating as a Urology. The healthcare provider is registered in the NPI registry with number 1154589901 assigned on May 2008. The practitioner's primary taxonomy code is 208800000X with license number 119325 (MO). The provider is registered as an organization and their NPI record was last updated 18 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 Deborah A Eddlestone (Consultant)

NPI
1154589901
Provider Name
UROLOGY GROUP, PC
Entity Type
Organization
Location Address
907 E REED ST HAYTI, MO 63851
Location Phone
(901) 767-8158
Mailing Address
907 E REED ST HAYTI, MO 63851
Mailing Phone
(901) 767-8158
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2008
Last Update Date
11-25-2008
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
119325
License State
MO
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193400000X 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.

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

DEBORAH A EDDLESTONE

Authorized Official Title
CONSULTANT
Authorized Official Phone
(901) 271-2272

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
000015398OTHER (01)MOMO MEDICARE GROUP NUMBER

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
44D2128687
Facility Type
Physician Office
Certificate Effective Date
April 04, 2025
Certificate Expiration Date
April 03, 2027
Laboratory Director
DR. ANNE M. JORDAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Urology Group, Pc 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 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 1154589901, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 5 → 10 → 1 5 → 10 → 1 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 0 + 8 + 1 + 8 + 9 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1154589901.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Pediatrics
907 E REED ST, 946 EAST REED STREET
HAYTI, MO 63851
Pediatrics
907 E REED ST
HAYTI, MO 63851
Nurse Practitioner (Family)
907 E REED ST
HAYTI, MO 63851
Obstetrics & Gynecology
907 E REED ST
HAYTI, MO 63851
Counselor
907 E REED ST
HAYTI, MO 63851
Family Medicine
907 E REED ST
HAYTI, MO 63851
Surgery
907 E REED ST
HAYTI, MO 63851
Pain Medicine (Pain Medicine)
907 E REED ST
HAYTI, MO 63851
Nurse Practitioner (Family)
907 E REED ST
HAYTI, MO 63851
Nurse Practitioner (Family)
907 E REED ST
HAYTI, MO 63851
Nurse Practitioner (Primary Care)
907 E REED ST
HAYTI, MO 63851
Anesthesiology (Pain Medicine)
907 E REED ST
HAYTI, MO 63851
Pain Medicine (Interventional Pain Medicine)
907 E REED ST
HAYTI, MO 63851
Clinic/Center
907 E REED ST
HAYTI, MO 63851
Clinic/Center (Rural Health)
907 E REED ST
HAYTI, MO 63851

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154589901, enumerated as an "organization" on May 29, 2008.

The provider is located at 907 E REED ST HAYTI, MO 63851 and the phone number is (901) 767-8158.

Urology with taxonomy code 208800000X.

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