SOUTH LAKE EARS NOSE & THROAT PA
NPI 1154695872
Otolaryngology in Huntersville, NC

NPI Status: Active since February 27, 2012

Contact Information

9710 SAM FURR RD UNIT D
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 896-1909
Fax: (704) 896-1926

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  • Organization
  • Otolaryngology

About SOUTH LAKE EARS NOSE & THROAT PA

This page provides the complete NPI Profile along with additional information for South Lake Ears Nose & Throat Pa, a provider established in Huntersville, North Carolina operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1154695872 assigned on February 2012. The practitioner's primary taxonomy code is 207Y00000X with license number 9701107 (NC). The provider is registered as an organization and their NPI record was last updated 14 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 Stan D Phillips Md (Owner)

NPI
1154695872
Provider Name
SOUTH LAKE EARS NOSE & THROAT PA
Entity Type
Organization
Location Address
9710 SAM FURR RD UNIT D HUNTERSVILLE, NC 28078
Location Phone
(704) 896-1909
Location Fax
(704) 896-1926
Mailing Address
9710 SAM FURR RD UNIT D HUNTERSVILLE, NC 28078
Mailing Phone
(704) 896-1909
Mailing Fax
(704) 896-1926
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2012
Last Update Date
02-27-2012
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
9701107
License State
NC
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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

STAN D PHILLIPS MD

Authorized Official Title
OWNER
Authorized Official Phone
(704) 896-1909

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
G70963MEDICARE UPIN (02)NC 
891108AMEDICAID (05)NC 

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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 1154695872, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 5 → 10 → 1 7 → 14 → 5

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 + 9 + 1 + 0 + 8 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154695872.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Audiologist
9710 SAM FURR RD UNIT D
HUNTERSVILLE, NC 28078
Audiologist
9710 SAM FURR RD UNIT D
HUNTERSVILLE, NC 28078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154695872, enumerated as an "organization" on February 27, 2012.

The provider is located at 9710 SAM FURR RD UNIT D HUNTERSVILLE, NC 28078 and the phone number is (704) 896-1909.

Otolaryngology with taxonomy code 207Y00000X.

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