LORI MARIE HEMMELGARN M.D.
NPI 1295730380
Obstetrics & Gynecology in Cincinnati, OH
NPI Status: Active since June 16, 2005
Contact Information
11124 MARLETTE DR
CINCINNATI, OH
ZIP 45249
Phone: (937) 271-6471
- Individual
- Female
- Obstetrics & Gynecology
- Accepts Insurance
About LORI HEMMELGARN
This page provides the complete NPI Profile along with additional information for Lori Hemmelgarn, a women's health care provider established in Cincinnati, Ohio with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1295730380 assigned on June 2005. The practitioner's primary taxonomy code is 207V00000X with license number 35061006 (OH). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1295730380
- Provider Name
- LORI MARIE HEMMELGARN M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11124 MARLETTE DR CINCINNATI, OH 45249
- Location Phone
- (937) 271-6471
- Mailing Address
- 11124 MARLETTE DR CINCINNATI, OH 45249
- Mailing Phone
- (937) 271-6471
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-16-2005
- Last Update Date
- 10-09-2015
- Code Navigator
Women's health care providers like Lori Hemmelgarn treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35061006
- License State
- OH
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Silver 6000 $20 Generic Drugs - HMO
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.
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 |
|---|---|---|---|
| 311711751027 | OTHER (01) | OH | CARESOURCE |
| G82317 | MEDICARE UPIN (02) | ||
| HE4032814 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 160049597 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 2052371 | MEDICAID (05) | OH | |
| 5095573 | OTHER (01) | OH | AETNA |
| ANTHEM | OTHER (01) | OH | 000000122981 |
| 0701800 | OTHER (01) | OH | UNITED HEALTH CARE |
| D61006 | OTHER (01) | OH | HUMAN/CHOICE CARE |
| HE4032813 | MEDICARE ID-TYPE UNSPECIFIED (04) |
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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 1295730380, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295730380, enumerated as an "individual" on June 16, 2005.
The provider is located at 11124 MARLETTE DR CINCINNATI, OH 45249 and the phone number is (937) 271-6471.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: CareSource, Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.
