MIDWAY - GREENWICH
NPI 1235802034
Clinic/Center - Multi-Specialty in Greenwich, OH

NPI Status: Active since July 28, 2021

Contact Information

40 SEMINARY ST
GREENWICH, OH
ZIP 44837
Phone: (419) 752-4471

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 36D1090821
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-19-2026

About MIDWAY - GREENWICH

This page provides the complete NPI Profile along with additional information for Midway - Greenwich, a provider established in Greenwich, Ohio operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1235802034 assigned on July 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Midway - Greenwich. The authorized official of this NPI record is Jonathan B Leizman (President)

NPI
1235802034
Provider Legal Name
PREMISE HEALTH OF OHIO MEDICAL, P.A
Other Organization Name
MIDWAY - GREENWICH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
40 SEMINARY ST GREENWICH, OH 44837
Location Phone
(419) 752-4471
Mailing Address
5500 MARYLAND WAY BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2021
Last Update Date
08-16-2022
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

JONATHAN B LEIZMAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 479-9063

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D1090821
Facility Type
Physician Office
Certificate Effective Date
October 20, 2024
Certificate Expiration Date
October 19, 2026
Laboratory Director
VICKI E. BOWERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Midway - Greenwich to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235802034
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265160406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 6 + 0 + 4 + 0 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1235802034 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235802034, enumerated as an "organization" on July 28, 2021.

The provider is located at 40 SEMINARY ST GREENWICH, OH 44837 and the phone number is (419) 752-4471.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.