NORTHWEST DERMATOLOGY CLINIC, P.A.
NPI 1366490997
Dermatology - Dermatopathology in Springdale, AR

NPI Status: Active since May 05, 2006

Contact Information

5100 S THOMPSON ST # 212
SPRINGDALE, AR
ZIP 72764
Phone: (479) 750-7200
Fax: (479) 750-7202

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  • Organization
  • Dermatology
  • Dermatopathology

About NORTHWEST DERMATOLOGY CLINIC, P.A.

This page provides the complete NPI Profile along with additional information for Northwest Dermatology Clinic, P.a., a provider established in Springdale, Arkansas operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1366490997 assigned on May 2006. The practitioner's primary taxonomy code is 207ND0900X with license number MC1781 (AR). The provider is registered as an organization and their NPI record was last updated 16 years ago. Northwest Dermatology Clinic, P.a. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is James R Wharton M.d. (President)

NPI
1366490997
Provider Name
NORTHWEST DERMATOLOGY CLINIC, P.A.
Entity Type
Organization
Location Address
5100 S THOMPSON ST # 212 SPRINGDALE, AR 72764
Location Phone
(479) 750-7200
Location Fax
(479) 750-7202
Mailing Address
5100 S THOMPSON ST # 212 SPRINGDALE, AR 72764
Mailing Phone
(479) 750-7200
Mailing Fax
(479) 750-7202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2006
Last Update Date
01-06-2010
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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

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
License No.
MC1781
License State
AR
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

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)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

MC1781 (AR)
2207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

MC1781 (AR)
3207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

MC1781 (AR)

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.

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

JAMES R WHARTON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(479) 750-7200

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
5C767MEDICARE PIN (08)AR 
133978002MEDICAID (05)AR 

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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 1366490997, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
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 6 → 12 → 3 4 → 8 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 8 + 9 + 0 + 9 + 1 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1366490997.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366490997, enumerated as an "organization" on May 05, 2006.

The provider is located at 5100 S THOMPSON ST # 212 SPRINGDALE, AR 72764 and the phone number is (479) 750-7200.

Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.

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