PH ORAL & MAXILLOFACIAL SURGERY
NPI 1295222503
Oral & Maxillofacial Surgery in Columbia, SC
NPI Status: Active since April 23, 2018
Contact Information
3304 FOREST DR
COLUMBIA, SC
ZIP 29204
Phone: (803) 434-6565
Fax: (803) 434-6299
- Organization
- Oral & Maxillofacial Surgery
- CLIA Number: 42D2295251
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 12-06-2025
About PH ORAL & MAXILLOFACIAL SURGERY
This page provides the complete NPI Profile along with additional information for Ph Oral & Maxillofacial Surgery, a provider established in Columbia, South Carolina operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1295222503 assigned on April 2018. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Ph Oral & Maxillofacial Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Ph Oral & Maxillofacial Surgery. The authorized official of this NPI record is Kristi Lawrence (Director Provider Enrollment)
- NPI
- 1295222503
- Provider Legal Name
- PRISMA HEALTH MEDICAL GROUP-MIDLANDS
- Other Organization Name
- PH ORAL & MAXILLOFACIAL SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3304 FOREST DR COLUMBIA, SC 29204
- Location Phone
- (803) 434-6565
- Location Fax
- (803) 434-6299
- Mailing Address
- PO BOX 743904 ATLANTA, GA 30374
- Mailing Phone
- (803) 296-7320
- Mailing Fax
- (803) 434-6299
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-23-2018
- Last Update Date
- 02-22-2022
- 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
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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.
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.
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 |
|---|---|---|---|
| ZA8923 | MEDICAID (05) | SC |
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
- 42D2295251
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- December 07, 2023
- Certificate Expiration Date
- December 06, 2025
- Laboratory Director
- DR. MICHAEL DUCHYNSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ph Oral & Maxillofacial Surgery 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 1295222503, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
COLUMBIA, SC 29204
COLUMBIA, SC 29204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295222503, enumerated as an "organization" on April 23, 2018.
The provider is located at 3304 FOREST DR COLUMBIA, SC 29204 and the phone number is (803) 434-6565.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
