VASCULAR MEDICINE AND WOUND MANAGEMENT CLINIC
NPI 1205388618
Preventive Medicine - Undersea and Hyperbaric Medicine in Summerville, SC

NPI Status: Active since November 02, 2016

Contact Information

300 CALLEN BLVD STE 220
SUMMERVILLE, SC
ZIP 29486
Phone: (843) 724-2289
Fax: (843) 606-8038

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  • Organization
  • Preventive Medicine
  • Undersea and Hyperbaric Medicine
  • Accepts Insurance

About VASCULAR MEDICINE AND WOUND MANAGEMENT CLINIC

This page provides the complete NPI Profile along with additional information for Vascular Medicine And Wound Management Clinic, a provider established in Summerville, South Carolina operating as a Preventive Medicine, focusing in undersea and hyperbaric medicine . The healthcare provider is registered in the NPI registry with number 1205388618 assigned on November 2016. The practitioner's primary taxonomy code is 2083P0011X. The provider is registered as an organization and their NPI record was last updated 2 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 provider's is doing business as Vascular Medicine And Wound Management Clinic. The authorized official of this NPI record is Mr. William Anthony Jackson (Ceo)

NPI
1205388618
Provider Legal Name
ROPER HOSPITAL, INC.
Other Organization Name
VASCULAR MEDICINE AND WOUND MANAGEMENT CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 CALLEN BLVD STE 220 SUMMERVILLE, SC 29486
Location Phone
(843) 724-2289
Location Fax
(843) 606-8038
Mailing Address
PO BOX 751649 CHARLOTTE, NC 28275
Mailing Phone
(888) 472-0043
Mailing Fax
(843) 606-8038
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2016
Last Update Date
03-17-2024
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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

Preventive Medicine Undersea and Hyperbaric Medicine

Taxonomy Code
2083P0011X
Type
Allopathic & Osteopathic Physicians
License State
SC
Taxonomy Description
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

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:

  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Premier - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Essential - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO

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

MR. WILLIAM ANTHONY JACKSON

Authorized Official Title
CEO
Authorized Official Phone
(843) 724-2954

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
GP7573MEDICAID (05)SC 

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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 1205388618, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 0 → 0 3 → 6 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 6 + 8 + 1 + 6 + 6 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1205388618.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Physician Assistant (Surgical)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Urology
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Colon & Rectal Surgery
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Internal Medicine (Gastroenterology)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Thoracic Surgery (Cardiothoracic Vascular Surgery)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Preventive Medicine (Undersea and Hyperbaric Medicine)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Colon & Rectal Surgery
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Nurse Practitioner (Acute Care)
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486
Colon & Rectal Surgery
300 CALLEN BLVD STE 220
SUMMERVILLE, SC 29486

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205388618, enumerated as an "organization" on November 02, 2016.

The provider is located at 300 CALLEN BLVD STE 220 SUMMERVILLE, SC 29486 and the phone number is (843) 724-2289.

Preventive Medicine with taxonomy code 2083P0011X and a focus in Undersea and Hyperbaric Medicine.

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