LORI FEDORONKO M D P C
NPI 1265633416
Dermatology - Procedural Dermatology in Troy, MI

NPI Status: Active since May 29, 2007

Contact Information

1350 KIRTS BLVD
SUITE 155
TROY, MI
ZIP 48084
Phone: (248) 362-0222

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  • Organization
  • Dermatology
  • Procedural Dermatology
  • Accepts Insurance

About LORI FEDORONKO M D P C

This page provides the complete NPI Profile along with additional information for Lori Fedoronko M D P C, a provider established in Troy, Michigan operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1265633416 assigned on May 2007. The practitioner's primary taxonomy code is 207NS0135X with license number LF064064 (MI). The provider is registered as an organization and their NPI record was last updated 10 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 Lori Fedoronko M D (President)

NPI
1265633416
Provider Name
LORI FEDORONKO M D P C
Entity Type
Organization
Location Address
1350 KIRTS BLVD SUITE 155 TROY, MI 48084
Location Phone
(248) 362-0222
Mailing Address
1350 KIRTS BLVD SUITE 155 TROY, MI 48084
Mailing Phone
(248) 362-0222
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2007
Last Update Date
07-01-2016
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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

Dermatology Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
LF064064
License State
MI
Taxonomy Description
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

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

LORI FEDORONKO M D

Authorized Official Title
PRESIDENT
Authorized Official Phone
(248) 362-0222

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
3415994MEDICAID (05)MI 
G56093MEDICARE PIN (08)MI 

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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 1265633416, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 6 → 12 → 3 6 → 12 → 3 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 2 + 3 + 6 + 4 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1265633416.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1350 KIRTS BLVD, STE 160
TROY, MI 48084
Orthopaedic Surgery
1350 KIRTS BLVD, STE 160
TROY, MI 48084
Orthopaedic Surgery
1350 KIRTS BLVD, STE 160
TROY, MI 48084
Allergy & Immunology
1350 KIRTS BLVD, STE 140
TROY, MI 48084
Physical Therapist
1350 KIRTS BLVD, SUITE 120
TROY, MI 48084
Specialist
1350 KIRTS BLVD, SUITE 140
TROY, MI 48084
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery (Orthopaedic Trauma)
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery (Foot and Ankle Surgery)
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Physician Assistant (Surgical)
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery
1350 KIRTS BLVD, STE 160
TROY, MI 48084
Physician Assistant
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery (Hand Surgery)
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1350 KIRTS BLVD, SUITE 160
TROY, MI 48084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265633416, enumerated as an "organization" on May 29, 2007.

The provider is located at 1350 KIRTS BLVD SUITE 155 TROY, MI 48084 and the phone number is (248) 362-0222.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.