MODERN VASCULAR OF SOUTHAVEN, LLC
NPI 1174171441
Radiology - Vascular & Interventional Radiology in Southaven, MS
NPI Status: Active since August 29, 2019
Contact Information
55 PHYSICIANS LN
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 655-2136
Fax: (662) 996-2214
- Organization
- Radiology
- Vascular & Interventional Radiology
- Accepts Insurance
About MODERN VASCULAR OF SOUTHAVEN, LLC
This page provides the complete NPI Profile along with additional information for Modern Vascular Of Southaven, Llc, a provider established in Southaven, Mississippi operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1174171441 assigned on August 2019. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 7 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 Yury Gampel (Manager)
- NPI
- 1174171441
- Provider Name
- MODERN VASCULAR OF SOUTHAVEN, LLC
- Entity Type
- Organization
- Location Address
- 55 PHYSICIANS LN SOUTHAVEN, MS 38671
- Location Phone
- (662) 655-2136
- Location Fax
- (662) 996-2214
- Mailing Address
- 26500 AGOURA RD STE 201 CALABASAS, CA 91302
- Mailing Phone
- (818) 880-8605
- Mailing Fax
- (662) 996-2214
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2019
- Last Update Date
- 08-29-2019
- 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
Radiology Vascular & Interventional Radiology
- Taxonomy Code
- 2085R0204X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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) |
|---|---|---|---|---|
| 1 | 2471V0106X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist |
Group Taxonomy 193400000X MULTIPLE 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:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1174171441, 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.
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
SOUTHAVEN, MS 38671
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174171441, enumerated as an "organization" on August 29, 2019.
The provider is located at 55 PHYSICIANS LN SOUTHAVEN, MS 38671 and the phone number is (662) 655-2136.
Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
