SUPERNOVA CONSULTING LLC
NPI 1205486800
Plastic Surgery in Phoenix, AZ

NPI Status: Active since September 16, 2019

Contact Information

4550 E BELL RD STE 150
PHOENIX, AZ
ZIP 85032
Phone: (480) 576-4310

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  • Organization
  • Plastic Surgery

About SUPERNOVA CONSULTING LLC

This page provides the complete NPI Profile along with additional information for Supernova Consulting Llc, a provider established in Phoenix, Arizona operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1205486800 assigned on September 2019. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated 5 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. Tim Matatov Md (Ceo)

NPI
1205486800
Provider Name
SUPERNOVA CONSULTING LLC
Entity Type
Organization
Location Address
4550 E BELL RD STE 150 PHOENIX, AZ 85032
Location Phone
(480) 576-4310
Mailing Address
4550 E BELL RD STE 150 PHOENIX, AZ 85032
Mailing Phone
(480) 576-4310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2019
Last Update Date
04-26-2021
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Location Map

Secondary Locations

  • 10910 N Tatum Blvd Ste B100
    Phoenix, AZ 85028
    (480) 291-6895

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

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

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.

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. TIM MATATOV MD

Authorized Official Title
CEO
Authorized Official Phone
(480) 576-4310

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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 1205486800, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 4 → 8 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 8 + 8 + 1 + 2 + 8 + 0 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1205486800.

Other Providers at the Same Location


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

Plastic Surgery
4550 E BELL RD STE 150
PHOENIX, AZ 85032
Plastic Surgery
4550 E BELL RD STE 150
PHOENIX, AZ 85032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205486800, enumerated as an "organization" on September 16, 2019.

The provider is located at 4550 E BELL RD STE 150 PHOENIX, AZ 85032 and the phone number is (480) 576-4310.

Plastic Surgery with taxonomy code 208200000X.