CLARKSTON INTERNAL MEDICINE, P.C.
NPI 1417085085
Internal Medicine in Clarkston, MI

NPI Status: Active since March 02, 2007

Contact Information

7188 N MAIN ST
CLARKSTON, MI
ZIP 48346
Phone: (248) 625-1600
Fax: (248) 625-0239

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 23D0857024
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About CLARKSTON INTERNAL MEDICINE, P.C.

This page provides the complete NPI Profile along with additional information for Clarkston Internal Medicine, P.c., an internist established in Clarkston, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1417085085 assigned on March 2007. The practitioner's primary taxonomy code is 207R00000X with license number 4301050183 (MI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Nathan B Chase M.d. (President)

NPI
1417085085
Provider Name
CLARKSTON INTERNAL MEDICINE, P.C.
Entity Type
Organization
Location Address
7188 N MAIN ST CLARKSTON, MI 48346
Location Phone
(248) 625-1600
Location Fax
(248) 625-0239
Mailing Address
7188 N MAIN ST CLARKSTON, MI 48346
Mailing Phone
(248) 625-1600
Mailing Fax
(248) 625-0239
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2007
Last Update Date
09-27-2011
Code Navigator

An internist like Clarkston Internal Medicine, P.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301050183
License State
MI
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*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

DR. NATHAN B CHASE M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(248) 625-1600

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
23D0857024
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
NATHAN B. CHASE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clarkston Internal Medicine, P.c. 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.

Reviews for CLARKSTON INTERNAL MEDICINE, P.C.

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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.
1417085085
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24270810016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 0 + 8 + 1 + 0 + 0 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1417085085 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

HOSPITALIST SERVICE OF MICHIGAN, LLC

Internal Medicine

7188 N MAIN ST
CLARKSTON, MI
ZIP 48346

(248) 625-1600

CHIRINE EL MOKDAD MD

Internal Medicine

7188 N MAIN ST
CLARKSTON, MI
ZIP 48346

(248) 625-1600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417085085, enumerated as an "organization" on March 02, 2007.

The provider is located at 7188 N MAIN ST CLARKSTON, MI 48346 and the phone number is (248) 625-1600.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.