NACOGDOCHES MEMORIAL PROFESSIONAL GROUP
NPI 1316616550
Family Medicine in Nacogdoches, TX

NPI Status: Active since September 10, 2021

Contact Information

1204 N MOUND ST
NACOGDOCHES, TX
ZIP 75961
Phone: (936) 568-8427

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  • Organization
  • Family Medicine

About NACOGDOCHES MEMORIAL PROFESSIONAL GROUP

This page provides the complete NPI Profile along with additional information for Nacogdoches Memorial Professional Group, a primary care provider established in Nacogdoches, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1316616550 assigned on September 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Nacogdoches Memorial Professional Group 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 Nacogdoches Memorial Professional Group. The authorized official of this NPI record is Matthew Malloy Rn (Director Of Operations)

NPI
1316616550
Provider Legal Name
LION STAR NACOGDOCHES HOSPITAL, LLC
Other Organization Name
NACOGDOCHES MEMORIAL PROFESSIONAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1204 N MOUND ST NACOGDOCHES, TX 75961
Location Phone
(936) 568-8427
Mailing Address
1204 N MOUND ST NACOGDOCHES, TX 75961
Mailing Phone
(936) 568-8427
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-10-2021
Last Update Date
08-16-2023
Code Navigator

A primary care provider (PCP) like Nacogdoches Memorial Professional Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
4207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
5207ZP0102XAllopathic & Osteopathic Physicians

Pathology
Anatomic Pathology & Clinical Pathology

 
62084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
7208600000XAllopathic & Osteopathic Physicians

Surgery

 
82086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
9208800000XAllopathic & Osteopathic Physicians

Urology

 
10363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
11363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
12363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 
13363LW0102XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Women's Health

 
14367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

 

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.

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

MATTHEW MALLOY RN

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(936) 568-8427

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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 1316616550, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
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 1 → 2 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 2 + 1 + 1 + 2 + 5 + 1 + 0 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1316616550.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
1204 N MOUND ST, NACOGDOCHES MEMORIAL HOSPITAL RADIOLOGY DEPT
NACOGDOCHES, TX 75961
Radiology (Diagnostic Radiology)
1204 N MOUND ST, RADIOLOGY DEPARTMENT
NACOGDOCHES, TX 75961
Hospice Care, Community Based
1204 N MOUND ST
NACOGDOCHES, TX 75961
Emergency Medicine
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nurse Anesthetist, Certified Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nurse Anesthetist, Certified Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961
Emergency Medicine (Emergency Medical Services)
1204 N MOUND ST
NACOGDOCHES, TX 75961
Family Medicine
1204 N MOUND ST
NACOGDOCHES, TX 75961
Anesthesiology
1204 N MOUND ST
NACOGDOCHES, TX 75961
General Acute Care Hospital (Rural)
1204 N MOUND ST
NACOGDOCHES, TX 75961
Family Medicine
1204 N MOUND ST
NACOGDOCHES, TX 75961
Dietitian, Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961
Dietitian, Registered
1204 N MOUND ST, DIETARY DEPARTMENT
NACOGDOCHES, TX 75961
Dietitian, Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961
Advanced Practice Midwife
1204 N MOUND ST
NACOGDOCHES, TX 75961
Pathology (Anatomic Pathology & Clinical Pathology)
1204 N MOUND ST
NACOGDOCHES, TX 75961
Anesthesiology
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nurse Anesthetist, Certified Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nurse Anesthetist, Certified Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nurse Anesthetist, Certified Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316616550, enumerated as an "organization" on September 10, 2021.

The provider is located at 1204 N MOUND ST NACOGDOCHES, TX 75961 and the phone number is (936) 568-8427.

Family Medicine with taxonomy code 207Q00000X.