MEDISTAT GROUP ASSOCIATES, INC.
NPI 1376565341
Family Medicine - Adult Medicine in Desoto, TX
NPI Status: Active since July 25, 2006
Contact Information
2617 BOLTON BOONE DR
SUITE B
DESOTO, TX
ZIP 75115
Phone: (972) 709-1781
Fax: (972) 709-1782
- Organization
- Family Medicine
- Adult Medicine
About MEDISTAT GROUP ASSOCIATES, INC.
This page provides the complete NPI Profile along with additional information for Medistat Group Associates, Inc., a primary care provider established in Desoto, Texas operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1376565341 assigned on July 2006. The practitioner's primary taxonomy code is 207QA0505X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Medistat Group Associates, Inc. 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 Mrs. Teri Louise Shipman (Office Manager)
- NPI
- 1376565341
- Provider Name
- MEDISTAT GROUP ASSOCIATES, INC.
- Entity Type
- Organization
- Location Address
- 2617 BOLTON BOONE DR SUITE B DESOTO, TX 75115
- Location Phone
- (972) 709-1781
- Location Fax
- (972) 709-1782
- Mailing Address
- 2617 BOLTON BOONE DR SUITE B DESOTO, TX 75115
- Mailing Phone
- (972) 709-1781
- Mailing Fax
- (972) 709-1782
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-25-2006
- Last Update Date
- 10-05-2008
- Code Navigator
A primary care provider (PCP) like Medistat Group Associates, Inc. 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 Adult Medicine
- Taxonomy Code
- 207QA0505X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
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) |
|---|---|---|---|---|
| 1 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 2 | 225B00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Pulmonary Function Technologist | |
| 3 | 2278P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | |
| 4 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | G6955 (TX) |
| 5 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 6 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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 |
|---|---|---|---|
| C18105 | MEDICARE UPIN (02) | TX | |
| 8684B9 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | JACQUES ROY, M.D |
| 00728T | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | GROUP NUMBER |
| 8943B6 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | LOUISE LAMARRE, M.D. |
| C21376 | MEDICARE UPIN (02) | TX |
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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 1376565341, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376565341, enumerated as an "organization" on July 25, 2006.
The provider is located at 2617 BOLTON BOONE DR SUITE B DESOTO, TX 75115 and the phone number is (972) 709-1781.
Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
