SOUTH MOUNTAIN FAMILY PRACTICE LLC
NPI 1487844593
Clinic/Center in Boonsboro, MD

NPI Status: Active since July 26, 2007

Contact Information

9 SAINT PAUL ST
BOONSBORO, MD
ZIP 21713
Phone: (301) 432-0623
Fax: (301) 432-0624

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  • Organization
  • Clinic/Center

About SOUTH MOUNTAIN FAMILY PRACTICE LLC

This page provides the complete NPI Profile along with additional information for South Mountain Family Practice Llc, a provider established in Boonsboro, Maryland operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1487844593 assigned on July 2007. The practitioner's primary taxonomy code is 261Q00000X with license number D0056826 (MD). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. William F Bodenheimer Iii Md (Owner)

NPI
1487844593
Provider Name
SOUTH MOUNTAIN FAMILY PRACTICE LLC
Entity Type
Organization
Location Address
9 SAINT PAUL ST BOONSBORO, MD 21713
Location Phone
(301) 432-0623
Location Fax
(301) 432-0624
Mailing Address
9 SAINT PAUL ST BOONSBORO, MD 21713
Mailing Phone
(301) 432-0623
Mailing Fax
(301) 432-0624
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2007
Last Update Date
06-29-2011
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
D0056826
License State
MD
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

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. WILLIAM F BODENHEIMER III MD

Authorized Official Title
OWNER
Authorized Official Phone
(301) 432-0623

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
864001700MEDICAID (05)MD 
037NMEDICARE PIN (08)MD 
G90193MEDICARE UPIN (02)MD 

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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 1487844593, 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 8 → 16 → 7 8 → 16 → 7 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 1 + 6 + 4 + 8 + 5 + 1 + 8 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1487844593.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine
9 SAINT PAUL ST
BOONSBORO, MD 21713
Physical Therapy Assistant
9 SAINT PAUL ST, 3RD FLOOR
BOONSBORO, MD 21713
Nurse Practitioner (Family)
9 SAINT PAUL ST, 2ND FLOOR
BOONSBORO, MD 21713
Physical Therapist
9 SAINT PAUL ST, 3RD FLOOR
BOONSBORO, MD 21713
Podiatrist
9 SAINT PAUL ST, 2ND FLOOR
BOONSBORO, MD 21713
Health and Wellness Coach
9 SAINT PAUL ST
BOONSBORO, MD 21713
Student in an Organized Health Care Education/Training Program
9 SAINT PAUL ST
BOONSBORO, MD 21713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487844593, enumerated as an "organization" on July 26, 2007.

The provider is located at 9 SAINT PAUL ST BOONSBORO, MD 21713 and the phone number is (301) 432-0623.

Clinic/Center with taxonomy code 261Q00000X.

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