LAKESIDE PEDIATRICS
NPI 1245390160
Specialist in Saint Joseph, MO

NPI Status: Active since December 11, 2006

Contact Information

902 N RIVERSIDE RD
SUITE 100
SAINT JOSEPH, MO
ZIP 64507
Phone: (816) 271-1351
Fax: (816) 271-1355

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  • Organization
  • Specialist

About LAKESIDE PEDIATRICS

This page provides the complete NPI Profile along with additional information for Lakeside Pediatrics, a provider established in Saint Joseph, Missouri operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1245390160 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X with license number MD116083 (MO). The provider is registered as an organization and their NPI record was last updated 11 years ago. Lakeside Pediatrics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lakeside Pediatrics. The authorized official of this NPI record is John Wilson (Chief Financial Officer)

NPI
1245390160
Provider Legal Name
HEARTLAND REGIONAL MEDICAL CENTER
Other Organization Name
LAKESIDE PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
902 N RIVERSIDE RD SUITE 100 SAINT JOSEPH, MO 64507
Location Phone
(816) 271-1351
Location Fax
(816) 271-1355
Mailing Address
5325 FARAON ST SAINT JOSEPH, MO 64506
Mailing Phone
(816) 271-1351
Mailing Fax
(816) 271-1355
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2006
Last Update Date
06-30-2015
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD116083
License State
MO
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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

JOHN WILSON

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(816) 271-6611

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
540156809MEDICAID (05)MO 

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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 1245390160, 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
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 4 → 8 3 → 6 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 6 + 9 + 0 + 1 + 1 + 2 + 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 1245390160.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
902 N RIVERSIDE RD, SUITE 200
SAINT JOSEPH, MO 64507
Genetic Counselor, MS
902 N RIVERSIDE RD, STE. 201
SAINT JOSEPH, MO 64507
Nurse Practitioner
902 N RIVERSIDE RD, STE. 200
SAINT JOSEPH, MO 64507
Nurse Practitioner
902 N RIVERSIDE RD, STE. 200
SAINT JOSEPH, MO 64507
Internal Medicine (Hematology & Oncology)
902 N RIVERSIDE RD, STE 200
SAINT JOSEPH, MO 64507
Radiology (Radiation Oncology)
902 N RIVERSIDE RD, #201
SAINT JOSEPH, MO 64507
Internal Medicine (Medical Oncology)
902 N RIVERSIDE RD, STE 200
ST JOSEPH, MO 64507
Internal Medicine (Medical Oncology)
902 N RIVERSIDE RD, STE 200
ST JOSEPH, MO 64507
Internal Medicine (Medical Oncology)
902 N RIVERSIDE RD, STE 200
ST JOSEPH, MO 64507
Radiology (Radiation Oncology)
902 N RIVERSIDE RD
SAINT JOSEPH, MO 64507
Internal Medicine
902 N RIVERSIDE RD, SUITE 200
SAINT JOSEPH, MO 64507
Nurse Practitioner (Family)
902 N RIVERSIDE RD
SAINT JOSEPH, MO 64507

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245390160, enumerated as an "organization" on December 11, 2006.

The provider is located at 902 N RIVERSIDE RD SUITE 100 SAINT JOSEPH, MO 64507 and the phone number is (816) 271-1351.

Specialist with taxonomy code 174400000X.

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