IMMUNE CO MEDICAL GROUP PA
NPI 1285452458
Internal Medicine in Roswell, NM
NPI Status: Active since September 27, 2024
Contact Information
2500 BRANDON WAY
ROSWELL, NM
ZIP 88201
Phone: (512) 789-7580
- Organization
- Internal Medicine
About IMMUNE CO MEDICAL GROUP PA
This page provides the complete NPI Profile along with additional information for Immune Co Medical Group Pa, an internist established in Roswell, New Mexico operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1285452458 assigned on September 2024. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Immune Co Medical Group Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ariana Thacker (Authorized Official)
- NPI
- 1285452458
- Provider Name
- IMMUNE CO MEDICAL GROUP PA
- Entity Type
- Organization
- Location Address
- 2500 BRANDON WAY ROSWELL, NM 88201
- Location Phone
- (512) 789-7580
- Mailing Address
- 1000 BRICKELL AVE STE 715 MIAMI, FL 33131
- Mailing Phone
- (512) 789-7580
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-27-2024
- Last Update Date
- 09-27-2024
- Code Navigator
An internist like Immune Co Medical Group Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 3 | 376K00000X | Nursing Service Related Providers | Nurse's Aide |
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.
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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. | |||||||||
| 1 | 2 | 8 | 5 | 4 | 5 | 2 | 4 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 8 | 5 | 4 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 8 + 5 + 4 + 4 + 1 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1285452458 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
DR. KALI KUNDOMAL DNP, BSN, RN
Nurse Practitioner
(Family)
2500 BRANDON WAY
ROSWELL, NM
ZIP 88201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285452458, enumerated as an "organization" on September 27, 2024.
The provider is located at 2500 BRANDON WAY ROSWELL, NM 88201 and the phone number is (512) 789-7580.
Internal Medicine with taxonomy code 207R00000X.
