PRIVIA MEDICAL GROUP GULF COAST PLLC
NPI 1457167033
Pain Medicine - Interventional Pain Medicine in San Antonio, TX
NPI Status: Active since December 09, 2024
Contact Information
5939 BABCOCK RD STE 112
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 874-5260
- Organization
- Pain Medicine
- Interventional Pain Medicine
About PRIVIA MEDICAL GROUP GULF COAST PLLC
This page provides the complete NPI Profile along with additional information for Privia Medical Group Gulf Coast Pllc, a provider established in San Antonio, Texas operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1457167033 assigned on December 2024. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated one year ago. Privia Medical Group Gulf Coast Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Barbara Jordan (Avp)
- NPI
- 1457167033
- Provider Name
- PRIVIA MEDICAL GROUP GULF COAST PLLC
- Entity Type
- Organization
- Location Address
- 5939 BABCOCK RD STE 112 SAN ANTONIO, TX 78240
- Location Phone
- (210) 874-5260
- Mailing Address
- 1200 BINZ ST STE 1490 HOUSTON, TX 77004
- Mailing Phone
- (210) 874-5260
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-09-2024
- Last Update Date
- 12-09-2024
- 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
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology |
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.
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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 | 4 | 5 | 7 | 1 | 6 | 7 | 0 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 2 | 6 | 14 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 2 + 6 + 1 + 4 + 0 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1457167033 is valid because the calculated check digit 3 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.
MUSTAFA MONIS PA
Physician Assistant
5939 BABCOCK RD STE 112
SAN ANTONIO, TX
ZIP 78240
DR. KANISHKA MONIS M.D.
Pain Medicine
(Interventional Pain Medicine)
5939 BABCOCK RD STE 112
SAN ANTONIO, TX
ZIP 78240
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457167033, enumerated as an "organization" on December 09, 2024.
The provider is located at 5939 BABCOCK RD STE 112 SAN ANTONIO, TX 78240 and the phone number is (210) 874-5260.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
