DR. LURLEY JOHN ARCHAMBEAU MD
NPI 1376529768
Specialist in Maumee, OH
NPI Status: Active since December 19, 2005
Contact Information
6450 WEATHERFIELD CT
SUITE 1B
MAUMEE, OH
ZIP 43537
Phone: (419) 866-2830
Fax: (419) 866-2831
- Individual
- Male
- Specialist
- Accepts Insurance
- PECOS Enrolled
About LURLEY ARCHAMBEAU
This page provides the complete NPI Profile along with additional information for Lurley Archambeau, a provider established in Maumee, Ohio with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1376529768 assigned on December 2005. The practitioner's primary taxonomy code is 174400000X with license number 35999 (OH). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1376529768
- Provider Name
- DR. LURLEY JOHN ARCHAMBEAU MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6450 WEATHERFIELD CT SUITE 1B MAUMEE, OH 43537
- Location Phone
- (419) 866-2830
- Location Fax
- (419) 866-2831
- Mailing Address
- 6450 WEATHERFIELD CT SUITE 1B MAUMEE, OH 43537
- Mailing Phone
- (419) 866-2830
- Mailing Fax
- (419) 866-2831
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-19-2005
- Last Update Date
- 11-10-2010
- Code Navigator
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 35999
- License State
- OH
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - 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.
*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 |
|---|---|---|---|
| A14823 | MEDICARE UPIN (02) | OH | |
| AR0412653 | MEDICARE PIN (08) | OH | |
| 0275330 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Lurley Archambeau is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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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. | |||||||||
| 1 | 3 | 7 | 6 | 5 | 2 | 9 | 7 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 10 | 2 | 18 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 0 + 2 + 1 + 8 + 7 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1376529768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DOUGLAS BORELL COUNSELING
Counselor
(Professional)
6450 WEATHERFIELD CT
STE 1B
MAUMEE, OH
ZIP 43537
SHAUNTE HARRIS CDCA
Counselor
(Addiction (Substance Use Disorder))
6450 WEATHERFIELD CT
MAUMEE, OH
ZIP 43537
RACHELLE ANNE DOUGLAS-BORELL LPCC-S
Counselor
(Professional)
6450 WEATHERFIELD CT
STE. 1B
MAUMEE, OH
ZIP 43537
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376529768, enumerated as an "individual" on December 19, 2005.
The provider is located at 6450 WEATHERFIELD CT SUITE 1B MAUMEE, OH 43537 and the phone number is (419) 866-2830.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Molina Healthcare, UnitedHealthcare, Medicare and. Please consult your insurance carrier or call the provider to verify.
