DICKINSON TELEMEDICINE
NPI 1154613594
Pediatrics - Neurodevelopmental Disabilities in Iron Mountain, MI

NPI Status: Active since May 04, 2011

Contact Information

1711 S STEPHENSON AVE
SUITE 230
IRON MOUNTAIN, MI
ZIP 49801
Phone: (906) 774-1313
Fax: (906) 776-5639

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  • Organization
  • Pediatrics
  • Neurodevelopmental Disabilities

About DICKINSON TELEMEDICINE

This page provides the complete NPI Profile along with additional information for Dickinson Telemedicine, a pediatrician established in Iron Mountain, Michigan operating as a Pediatrics, focusing in neurodevelopmental disabilities . The healthcare provider is registered in the NPI registry with number 1154613594 assigned on May 2011. The practitioner's primary taxonomy code is 2080P0008X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Dickinson Telemedicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Dickinson Telemedicine. The authorized official of this NPI record is Alicia Henderson Cpc, Ccp (Physician Billing Supervisor)

NPI
1154613594
Provider Legal Name
DICKINSON COUNTY HEALTHCARE SYSTEM
Other Organization Name
DICKINSON TELEMEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1711 S STEPHENSON AVE SUITE 230 IRON MOUNTAIN, MI 49801
Location Phone
(906) 774-1313
Location Fax
(906) 776-5639
Mailing Address
PO BOX 549 IRON MOUNTAIN, MI 49801
Mailing Phone
(906) 774-1313
Mailing Fax
(906) 776-5639
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2011
Last Update Date
05-04-2011
Code Navigator

A pediatrician like Dickinson Telemedicine 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 Neurodevelopmental Disabilities

Taxonomy Code
2080P0008X
Type
Allopathic & Osteopathic Physicians
License State
MI
Taxonomy Description
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic 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)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

(MI)
22084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

(MI)
32084N0402XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology with Special Qualifications in Child Neurology

(MI)

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.

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

ALICIA HENDERSON CPC, CCP

Authorized Official Title
PHYSICIAN BILLING SUPERVISOR
Authorized Official Phone
(906) 776-5665

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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 1154613594, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 6 → 12 → 3 3 → 6 9 → 18 → 9

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 + 2 + 1 + 6 + 5 + 1 + 8 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1154613594.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1711 S STEPHENSON AVE, SUITE 300
IRON MOUNTAIN, MI 49801
Nurse Practitioner
1711 S STEPHENSON AVE, SUITE 225
IRON MOUNTAIN, MI 49801
Internal Medicine (Sleep Medicine)
1711 S STEPHENSON AVE, SUITE 215
IRON MOUNTAIN, MI 49801
Physician Assistant (Medical)
1711 S STEPHENSON AVE, SUITE 125
IRON MOUNTAIN, MI 49801
Surgery
1711 S STEPHENSON AVE, SUITE 305
IRON MOUNTAIN, MI 49801
Surgery
1711 S STEPHENSON AVE, SUITE 305
IRON MOUNTAIN, MI 49801
Internal Medicine (Sleep Medicine)
1711 S STEPHENSON AVE, SUITE 215
IRON MOUNTAIN, MI 49801
Pediatrics
1711 S STEPHENSON AVE, SUITE 210
IRON MOUNTAIN, MI 49801
Physician Assistant
1711 S STEPHENSON AVE, SUITE 300
IRON MOUNTAIN, MI 49801
Otolaryngology
1711 S STEPHENSON AVE, SUITE 320
IRON MOUNTAIN, MI 49801
Obstetrics & Gynecology
1711 S STEPHENSON AVE, SUITE 300
IRON MOUNTAIN, MI 49801
Audiologist
1711 S STEPHENSON AVE, SUITE 320
IRON MOUNTAIN, MI 49801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1711 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Orthopaedic Surgery
1711 S STEPHENSON AVE, SUITE 100
IRON MOUNTAIN, MI 49801
Orthopaedic Surgery
1711 S STEPHENSON AVE, SUITE 100
IRON MOUNTAIN, MI 49801
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1711 S STEPHENSON AVE, SUITE 230
IRON MOUNTAIN, MI 49801
Internal Medicine (Nephrology)
1711 S STEPHENSON AVE, SUITE 225
IRON MOUNTAIN, MI 49801
Orthopaedic Surgery
1711 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Obstetrics & Gynecology
1711 S STEPHENSON AVE, SUITE 125
IRON MOUNTAIN, MI 49801
Otolaryngology
1711 S STEPHENSON AVE, SUITE 320
IRON MOUNTAIN, MI 49801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154613594, enumerated as an "organization" on May 04, 2011.

The provider is located at 1711 S STEPHENSON AVE SUITE 230 IRON MOUNTAIN, MI 49801 and the phone number is (906) 774-1313.

Pediatrics with taxonomy code 2080P0008X and a focus in Neurodevelopmental Disabilities.