SULLIVAN MEDICAL CLINIC
NPI 1205919214
Family Medicine - Adolescent Medicine in Sullivan, TX

NPI Status: Active since October 23, 2006

Contact Information

11325 W EXPRESSWAY 83
SULLIVAN, TX
ZIP 78595
Phone: (956) 485-1401
Fax: (956) 485-0107

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  • Organization
  • Family Medicine
  • Adolescent Medicine

About SULLIVAN MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Sullivan Medical Clinic, a primary care provider established in Sullivan, Texas operating as a Family Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1205919214 assigned on October 2006. The practitioner's primary taxonomy code is 207QA0000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Sullivan Medical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Louis Gesler Madhere Physician Assistant (Ceo)

NPI
1205919214
Provider Name
SULLIVAN MEDICAL CLINIC
Entity Type
Organization
Location Address
11325 W EXPRESSWAY 83 SULLIVAN, TX 78595
Location Phone
(956) 485-1401
Location Fax
(956) 485-0107
Mailing Address
PO BOX 250 SULLIVAN CITY, TX 78595
Mailing Phone
(956) 485-1401
Mailing Fax
(956) 485-0107
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
09-25-2007
Code Navigator

A primary care provider (PCP) like Sullivan Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine Adolescent Medicine

Taxonomy Code
207QA0000X
Type
Allopathic & Osteopathic Physicians
License State
TX
Taxonomy Description
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

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)
1207QA0505XAllopathic & Osteopathic Physicians

Family Medicine
Adult Medicine

(TX)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

MR. LOUIS GESLER MADHERE PHYSICIAN ASSISTANT

Authorized Official Title
CEO
Authorized Official Phone
(956) 485-1401

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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 1205919214, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 9 → 18 → 9 9 → 18 → 9 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 + 1 + 8 + 1 + 1 + 8 + 2 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1205919214.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205919214, enumerated as an "organization" on October 23, 2006.

The provider is located at 11325 W EXPRESSWAY 83 SULLIVAN, TX 78595 and the phone number is (956) 485-1401.

Family Medicine with taxonomy code 207QA0000X and a focus in Adolescent Medicine.