MARION JUSTICE
NPI 1164820171
Exclusive Provider Organization in Detroit, MI

NPI Status: Active since December 08, 2014

Contact Information

3041 BEWICK ST
DETROIT, MI
ZIP 48214
Phone: (313) 410-9028

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  • Individual
  • Female
  • Exclusive Provider Organization

About MARION JUSTICE

This page provides the complete NPI Profile along with additional information for Marion Justice, a provider established in Detroit, Michigan with a medical specialization in Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1164820171 assigned on December 2014. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1164820171
Provider Name
MARION JUSTICE
Gender
Female
Entity Type
Individual
Location Address
3041 BEWICK ST DETROIT, MI 48214
Location Phone
(313) 410-9028
Mailing Address
PO BOX 3359 HIGHLAND PARK, MI 48203
Mailing Phone
(313) 410-9028
Is Sole Proprietor?
Yes
Enumeration Date
12-08-2014
Last Update Date
12-12-2014
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License State
MI
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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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 1164820171, 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 6 → 12 → 3 8 → 16 → 7 0 → 0 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 + 2 + 4 + 1 + 6 + 2 + 0 + 1 + 1 + 4 + 24 = 49

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.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1164820171.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164820171, enumerated as an "individual" on December 08, 2014.

The provider is located at 3041 BEWICK ST DETROIT, MI 48214 and the phone number is (313) 410-9028.

Exclusive Provider Organization with taxonomy code 302F00000X.