POPLAR BLUFF NEUROLOGY CENTER, PC
NPI 1154650331
Clinic/Center - Medical Specialty in Poplar Bluff, MO
NPI Status: Active since December 16, 2009
Contact Information
2210 BARRON RD
SUITE 112
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 785-0889
Fax: (573) 785-2011
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 26D2163848
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-21-2027
About POPLAR BLUFF NEUROLOGY CENTER, PC
This page provides the complete NPI Profile along with additional information for Poplar Bluff Neurology Center, Pc, a provider established in Poplar Bluff, Missouri operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1154650331 assigned on December 2009. The practitioner's primary taxonomy code is 261QM2500X with license number 104541 (MO). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Shahid Karim Choudhary M.d. (Presedent)
- NPI
- 1154650331
- Provider Name
- POPLAR BLUFF NEUROLOGY CENTER, PC
- Entity Type
- Organization
- Location Address
- 2210 BARRON RD SUITE 112 POPLAR BLUFF, MO 63901
- Location Phone
- (573) 785-0889
- Location Fax
- (573) 785-2011
- Mailing Address
- 2210 BARRON RD SUITE 112 POPLAR BLUFF, MO 63901
- Mailing Phone
- (573) 785-0889
- Mailing Fax
- (573) 785-2011
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-16-2009
- Last Update Date
- 03-11-2015
- 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 Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 104541
- License State
- MO
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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.
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 |
|---|---|---|---|
| F68709 | MEDICARE UPIN (02) |
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
- 26D2163848
- Facility Type
- Hospital
- Certificate Effective Date
- March 22, 2025
- Certificate Expiration Date
- March 21, 2027
- Laboratory Director
- TERRY B. PONDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Poplar Bluff Neurology Center, 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 1154650331, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154650331, enumerated as an "organization" on December 16, 2009.
The provider is located at 2210 BARRON RD SUITE 112 POPLAR BLUFF, MO 63901 and the phone number is (573) 785-0889.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
