KODA PLASTIC SURGERY
NPI 1336980069
Surgery - Plastic and Reconstructive Surgery in Scottsdale, AZ

NPI Status: Active since June 05, 2024

Contact Information

9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ
ZIP 85260
Phone: (616) 914-8894
Fax: (480) 701-4990

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  • Organization
  • Surgery
  • Plastic and Reconstructive Surgery

About KODA PLASTIC SURGERY

This page provides the complete NPI Profile along with additional information for Koda Plastic Surgery, a provider established in Scottsdale, Arizona operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1336980069 assigned on June 2024. The practitioner's primary taxonomy code is 2086S0122X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Alicia A Raghib Medical Assistant (Practice Manager)

NPI
1336980069
Provider Name
KODA PLASTIC SURGERY
Entity Type
Organization
Location Address
9097 E DESERT COVE AVE STE 100 SCOTTSDALE, AZ 85260
Location Phone
(616) 914-8894
Location Fax
(480) 701-4990
Mailing Address
9097 E DESERT COVE AVE STE 100 SCOTTSDALE, AZ 85260
Mailing Phone
(616) 914-8894
Mailing Fax
(480) 701-4990
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2024
Last Update Date
06-12-2024
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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

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

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.

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

ALICIA A RAGHIB MEDICAL ASSISTANT

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(616) 914-8894

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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.
1336980069
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661880012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 8 + 8 + 0 + 0 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1336980069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

MR. SUKHJIT SINGH GHUMAN

Clinic/Center

9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ
ZIP 85260

(408) 609-4200

ARTHRITIS HEALTH, LTD

Internal Medicine

(Rheumatology)

9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ
ZIP 85260

(480) 609-4200

VITALAB PHARMACY INC

Clinic/Center

(Infusion Therapy)

9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ
ZIP 85260

(602) 346-0204

COLTON HEALTH, LLC

Clinic/Center

(Medical Specialty)

9097 E DESERT COVE AVE STE 100
SCOTTSDALE, AZ
ZIP 85260

(602) 600-8412

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336980069, enumerated as an "organization" on June 05, 2024.

The provider is located at 9097 E DESERT COVE AVE STE 100 SCOTTSDALE, AZ 85260 and the phone number is (616) 914-8894.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.