PREMIER CARE PEDIATRICS
NPI 1285103135
Clinic/Center - Multi-Specialty in Cortland, OH
NPI Status: Active since November 21, 2018
Contact Information
2642 STATE ROUTE 5
CORTLAND, OH
ZIP 44410
Phone: (330) 841-5500
Fax: (330) 884-6120
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 36D0982273
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 01-21-2027
About PREMIER CARE PEDIATRICS
This page provides the complete NPI Profile along with additional information for Premier Care Pediatrics, a provider established in Cortland, Ohio operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1285103135 assigned on November 2018. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Premier Care Pediatrics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. 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 provider's is doing business as Premier Care Pediatrics. The authorized official of this NPI record is Ronald Dwinnells Md (Ceo)
- NPI
- 1285103135
- Provider Legal Name
- OHIO NORTH EAST HEALTH SYSTEMS, INC
- Other Organization Name
- PREMIER CARE PEDIATRICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2642 STATE ROUTE 5 CORTLAND, OH 44410
- Location Phone
- (330) 841-5500
- Location Fax
- (330) 884-6120
- Mailing Address
- 726 WICK AVE YOUNGSTOWN, OH 44505
- Mailing Phone
- (330) 747-9551
- Mailing Fax
- (330) 884-6120
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2018
- Last Update Date
- 10-15-2024
- Code Navigator
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 207QA0000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 3 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X MULTIPLE 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.
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
- 36D0982273
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- January 22, 2025
- Certificate Expiration Date
- January 21, 2027
- Laboratory Director
- RONALD DWINNELLS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premier Care Pediatrics 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 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 1285103135, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CORTLAND, OH 44410
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285103135, enumerated as an "organization" on November 21, 2018.
The provider is located at 2642 STATE ROUTE 5 CORTLAND, OH 44410 and the phone number is (330) 841-5500.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
