MOUNTAIN STATE ORTHOPEDICS & SPORTS MEDICINE
NPI 1285821561
Neuromusculoskeletal Medicine, Sports Medicine in Summersville, WV

NPI Status: Active since October 01, 2007

Contact Information

400 FAIRVIEW HEIGHTS RD
STE. 301
SUMMERSVILLE, WV
ZIP 26651
Phone: (304) 880-7988
Fax: (304) 880-7987

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About MOUNTAIN STATE ORTHOPEDICS & SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Mountain State Orthopedics & Sports Medicine, a provider established in Summersville, West Virginia operating as a Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1285821561 assigned on October 2007. The practitioner's primary taxonomy code is 204C00000X with license number WV18114 (WV). The provider is registered as an organization and their NPI record was last updated 18 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 Dr. William R. Carson M.d. (President)

NPI
1285821561
Provider Name
MOUNTAIN STATE ORTHOPEDICS & SPORTS MEDICINE
Entity Type
Organization
Location Address
400 FAIRVIEW HEIGHTS RD STE. 301 SUMMERSVILLE, WV 26651
Location Phone
(304) 880-7988
Location Fax
(304) 880-7987
Mailing Address
PO BOX 927 SUMMERSVILLE, WV 26651
Mailing Phone
(304) 880-7988
Mailing Fax
(304) 880-7987
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2007
Last Update Date
12-29-2008
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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

Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Code
204C00000X
Type
Allopathic & Osteopathic Physicians
License No.
WV18114
License State
WV
Taxonomy Description
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

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:

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.

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

DR. WILLIAM R. CARSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(304) 880-7988

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
0098219000MEDICAID (05)WV 
1179860001MEDICARE NSC (07)WV 
200025785OTHER (01)WVRAILROAD MEDICARE
9286011OTHER (01)WVMEDICARE PROVIDER NUMBER
G07157MEDICARE UPIN (02)WV 

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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 1285821561, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 8 → 16 → 7 8 → 16 → 7 1 → 2 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 + 1 + 6 + 5 + 1 + 6 + 2 + 2 + 5 + 1 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1285821561.

Other Providers at the Same Location


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

Family Medicine (Adult Medicine)
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Internal Medicine
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Internal Medicine
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Obstetrics & Gynecology
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Family Medicine
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Emergency Medicine
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nurse Anesthetist, Certified Registered
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nurse Practitioner
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Physician Assistant (Medical)
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Specialist
400 FAIRVIEW HEIGHTS RD, SUITE 302
SUMMERSVILLE, WV 26651
Radiology (Diagnostic Radiology)
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Durable Medical Equipment & Medical Supplies
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Physician Assistant (Medical)
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Emergency Medicine
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Obstetrics & Gynecology
400 FAIRVIEW HEIGHTS RD, SUITE 201
SUMMERSVILLE, WV 26651
Physician Assistant
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nurse Practitioner
400 FAIRVIEW HEIGHTS RD, SUITE 302
SUMMERSVILLE, WV 26651
Specialist
400 FAIRVIEW HEIGHTS RD, SUITE 302
SUMMERSVILLE, WV 26651
Specialist
400 FAIRVIEW HEIGHTS RD, SUITE 302
SUMMERSVILLE, WV 26651
Pharmacist
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285821561, enumerated as an "organization" on October 01, 2007.

The provider is located at 400 FAIRVIEW HEIGHTS RD STE. 301 SUMMERSVILLE, WV 26651 and the phone number is (304) 880-7988.

Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

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