GRAND LAKE PODIATRY INC
NPI 1184896177
Podiatrist - Foot & Ankle Surgery in Springfield, OH

NPI Status: Active since March 31, 2008

Contact Information

2624 LEXINGTON AVE
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 322-3346
Fax: (937) 322-3348

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About GRAND LAKE PODIATRY INC

This page provides the complete NPI Profile along with additional information for Grand Lake Podiatry Inc, a provider established in Springfield, Ohio operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1184896177 assigned on March 2008. The practitioner's primary taxonomy code is 213ES0103X with license number 36 002772 (OH). The provider is registered as an organization and their NPI record was last updated 15 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 Dr. Mary Katherine Benjamin-swonger Dpm (Podiatrist/owner-president)

NPI
1184896177
Provider Name
GRAND LAKE PODIATRY INC
Entity Type
Organization
Location Address
2624 LEXINGTON AVE SPRINGFIELD, OH 45505
Location Phone
(937) 322-3346
Location Fax
(937) 322-3348
Mailing Address
1222 IRMSCHER BLVD CELINA, OH 45822
Mailing Phone
(419) 586-7874
Mailing Fax
(937) 322-3348
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2008
Last Update Date
06-09-2011
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
36 002772
License State
OH

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

DR. MARY KATHERINE BENJAMIN-SWONGER DPM

Authorized Official Title
PODIATRIST/OWNER-PRESIDENT
Authorized Official Phone
(419) 586-7874

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
9285766MEDICARE PIN (08)OH 
2544885MEDICAID (05)OH 
1153470007MEDICARE NSC (07) 
CG6681MEDICARE PIN (08) 

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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 1184896177, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 8 → 16 → 7 8 → 16 → 7 6 → 12 → 3 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 + 6 + 4 + 1 + 6 + 9 + 1 + 2 + 1 + 1 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1184896177.

Other Providers at the Same Location


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

Surgery
2624 LEXINGTON AVE, SUITE 340
SPRINGFIELD, OH 45505
Non-Pharmacy Dispensing Site
2624 LEXINGTON AVE, 200
SPRINGFIELD, OH 45505
Surgery
2624 LEXINGTON AVE, SUITE 340
SPRINGFIELD, OH 45505
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Licensed Practical Nurse
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Counselor (Addiction (Substance Use Disorder))
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Licensed Practical Nurse
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Peer Specialist
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Peer Specialist
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505
Case Manager/Care Coordinator
2624 LEXINGTON AVE
SPRINGFIELD, OH 45505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184896177, enumerated as an "organization" on March 31, 2008.

The provider is located at 2624 LEXINGTON AVE SPRINGFIELD, OH 45505 and the phone number is (937) 322-3346.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

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