CARROLL COUNTY MEDICAL CLINIC
NPI 1366752768
Family Medicine in Carrollton, MO

NPI Status: Active since October 19, 2010

Contact Information

1502 N JEFFERSON ST
ST SUITE A B
CARROLLTON, MO
ZIP 64633
Phone: (660) 542-3865
Fax: (660) 542-0336

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  • Organization
  • Family Medicine

About CARROLL COUNTY MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Carroll County Medical Clinic, a primary care provider established in Carrollton, Missouri operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1366752768 assigned on October 2010. The practitioner's primary taxonomy code is 207Q00000X with license number MD106594 (MO). The provider is registered as an organization and their NPI record was last updated 16 years ago. Carroll County Medical Clinic 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 Jerry Dover (Ceo)

NPI
1366752768
Provider Name
CARROLL COUNTY MEDICAL CLINIC
Entity Type
Organization
Location Address
1502 N JEFFERSON ST ST SUITE A B CARROLLTON, MO 64633
Location Phone
(660) 542-3865
Location Fax
(660) 542-0336
Mailing Address
1502 N JEFFERSON ST SUITE A B CARROLLTON, MO 64633
Mailing Phone
(660) 542-3865
Mailing Fax
(660) 542-0336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2010
Last Update Date
10-19-2010
Code Navigator

A primary care provider (PCP) like Carroll County Medical Clinic 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
License No.
MD106594
License State
MO
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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

MD109202 (MO)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

MD106594 (MO)
32080A0000XAllopathic & Osteopathic Physicians

Pediatrics
Adolescent Medicine

MD109202 (MO)

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

JERRY DOVER

Authorized Official Title
CEO
Authorized Official Phone
(660) 542-1695

Reviews for CARROLL COUNTY MEDICAL CLINIC

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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 1366752768, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 7 → 14 → 5 2 → 4 6 → 12 → 3

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 + 1 + 4 + 5 + 4 + 7 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1366752768.

Other Providers at the Same Location


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

Pediatrics
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Physical Therapist
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Family Medicine
1502 N JEFFERSON ST, JEFFERSON MEDICAL GROUP /ATTN: JEAN STEELE
CARROLLTON, MO 64633
Emergency Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Pharmacy (Institutional Pharmacy)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Internal Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Home Health
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Family Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
General Acute Care Hospital (Critical Access)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Clinic/Center (Rural Health)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Nurse Practitioner (Family)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
General Acute Care Hospital (Critical Access)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Social Worker (Clinical)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Internal Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Family Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Nurse Practitioner (Family)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Family Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Nurse Practitioner (Family)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Family Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Orthopaedic Surgery
1502 N JEFFERSON ST
CARROLLTON, MO 64633

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366752768, enumerated as an "organization" on October 19, 2010.

The provider is located at 1502 N JEFFERSON ST ST SUITE A B CARROLLTON, MO 64633 and the phone number is (660) 542-3865.

Family Medicine with taxonomy code 207Q00000X.