ANTIGO MEDICAL BUILDING, LLC
NPI 1396575353
Family Medicine in Antigo, WI
NPI Status: Active since August 05, 2024
Contact Information
1111 LANGLADE RD
ANTIGO, WI
ZIP 54409
Phone: (715) 623-3761
Fax: (715) 623-3764
- Organization
- Family Medicine
- CLIA Number: 52D0395366
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 11-24-2026
About ANTIGO MEDICAL BUILDING, LLC
This page provides the complete NPI Profile along with additional information for Antigo Medical Building, Llc, a primary care provider established in Antigo, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1396575353 assigned on August 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michelle Undeen (Credentialing Specialist)
- NPI
- 1396575353
- Provider Name
- ANTIGO MEDICAL BUILDING, LLC
- Entity Type
- Organization
- Location Address
- 1111 LANGLADE RD ANTIGO, WI 54409
- Location Phone
- (715) 623-3761
- Location Fax
- (715) 623-3764
- Mailing Address
- 1111 LANGLADE RD ANTIGO, WI 54409
- Mailing Phone
- (715) 623-3761
- Mailing Fax
- (715) 623-3764
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2024
- Last Update Date
- 08-05-2024
- Code Navigator
A primary care provider (PCP) like Antigo Medical Building, Llc 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
- 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.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0395366
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- November 25, 2024
- Certificate Expiration Date
- November 24, 2026
- Laboratory Director
- DR. STEVEN WEBER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Antigo Medical Building, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1396575353, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
ANTIGO, WI 54409
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396575353, enumerated as an "organization" on August 05, 2024.
The provider is located at 1111 LANGLADE RD ANTIGO, WI 54409 and the phone number is (715) 623-3761.
Family Medicine with taxonomy code 207Q00000X.
