EAGLE MEDICAL CENTER
NPI 1255367454
Family Medicine in Waukesha, WI

NPI Status: Active since June 23, 2006

Contact Information

1111 DELAFIELD STREET
STE 218
WAUKESHA, WI
ZIP 53188
Phone: (262) 574-9093
Fax: (262) 542-2803

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  • Organization
  • Family Medicine

About EAGLE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Eagle Medical Center, a primary care provider established in Waukesha, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1255367454 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Eagle Medical Center. The authorized official of this NPI record is Mr. Harinder S Gill M.d. (Partner)

NPI
1255367454
Provider Legal Name
PRACTICE MANAGEMENT GROUP INC
Other Organization Name
EAGLE MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1111 DELAFIELD STREET STE 218 WAUKESHA, WI 53188
Location Phone
(262) 574-9093
Location Fax
(262) 542-2803
Mailing Address
1111 DELAFIELD STREET SUITE 218 WAUKESHA, WI 53188
Mailing Phone
(262) 574-9093
Mailing Fax
(262) 542-2803
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2006
Last Update Date
12-07-2015
Code Navigator

A primary care provider (PCP) like Eagle Medical Center 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

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 

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

MR. HARINDER S GILL M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(262) 542-0074

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
000068855MEDICARE PIN (08)WI 

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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 1255367454, 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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 5 → 10 → 1 3 → 6 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 6 + 6 + 1 + 4 + 4 + 1 + 0 + 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 1255367454.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
1111 DELAFIELD STREET, SUITE 115
WAUKESHA, WI 53188
Dentist (Oral and Maxillofacial Surgery)
1111 DELAFIELD STREET, SUITE 222
WAUKESHA, WI 53188
Internal Medicine (Interventional Cardiology)
1111 DELAFIELD STREET, SUITE 215
WAUKESHA, WI 53188
Internal Medicine (Interventional Cardiology)
1111 DELAFIELD STREET, SUITE 215
WAUKESHA, WI 53188
Physician Assistant
1111 DELAFIELD STREET, SUITE 311
WAUKESHA, WI 53188
Nurse Practitioner
1111 DELAFIELD STREET, SUITE 311
WAUKESHA, WI 53188
Obstetrics & Gynecology
1111 DELAFIELD STREET, SUITE 311
WAUKESHA, WI 53188
Urology
1111 DELAFIELD STREET, SUITE 207
WAUKESHA, WI 53188
Physician Assistant
1111 DELAFIELD STREET, SUITE 311
WAUKESHA, WI 53188
Physician Assistant
1111 DELAFIELD STREET, SUITE 120
WAUKESHA, WI 53188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255367454, enumerated as an "organization" on June 23, 2006.

The provider is located at 1111 DELAFIELD STREET STE 218 WAUKESHA, WI 53188 and the phone number is (262) 574-9093.

Family Medicine with taxonomy code 207Q00000X.

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