PREMIER PAIN SPINE AND SPORTS MEDICINE PC
NPI 1457789117
Specialist in East Stroudsburg, PA

NPI Status: Active since October 16, 2013

Contact Information

391 EAST BROWN STREET
EAST STROUDSBURG, PA
ZIP 18301
Phone: (570) 241-9224

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  • Organization
  • Specialist
  • Accepts Insurance

About PREMIER PAIN SPINE AND SPORTS MEDICINE PC

This page provides the complete NPI Profile along with additional information for Premier Pain Spine And Sports Medicine Pc, a provider established in East Stroudsburg, Pennsylvania operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1457789117 assigned on October 2013. The practitioner's primary taxonomy code is 174400000X with license number MD424898 (). The provider is registered as an organization and their NPI record was last updated 12 years ago. Premier Pain Spine And Sports Medicine Pc 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 Mikhail Artamonov M.d (President)

NPI
1457789117
Provider Name
PREMIER PAIN SPINE AND SPORTS MEDICINE PC
Entity Type
Organization
Location Address
391 EAST BROWN STREET EAST STROUDSBURG, PA 18301
Location Phone
(570) 241-9224
Mailing Address
391 EAST BROWN STREET EAST STROUDSBURG, PA 18301
Mailing Phone
(570) 241-9224
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2013
Last Update Date
05-02-2014
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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.
MD424898
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.

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:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

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.

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

MIKHAIL ARTAMONOV M.D

Authorized Official Title
PRESIDENT
Authorized Official Phone
(570) 872-9800

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
I18217MEDICARE UPIN (02)PA 

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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 1457789117, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 4 + 8 + 1 + 8 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1457789117.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist
391 EAST BROWN STREET
EAST STROUDSBURG, PA 18301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457789117, enumerated as an "organization" on October 16, 2013.

The provider is located at 391 EAST BROWN STREET EAST STROUDSBURG, PA 18301 and the phone number is (570) 241-9224.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.