MEDI-WEIGHTLOSS CLINIC
NPI 1497127260
Family Medicine - Obesity Medicine in West Hartford, CT
NPI Status: Active since October 20, 2015
Contact Information
1001 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 213-8365
- Organization
- Family Medicine
- Obesity Medicine
- CLIA Number: 07D2071537
- CLIA Cert. Type: Other - WEIGHT LOSS CENTER
- CLIA Exp. Date: 01-13-2026
About MEDI-WEIGHTLOSS CLINIC
This page provides the complete NPI Profile along with additional information for Medi-weightloss Clinic, a primary care provider established in West Hartford, Connecticut operating as a Family Medicine, focusing in obesity medicine . The healthcare provider is registered in the NPI registry with number 1497127260 assigned on October 2015. The practitioner's primary taxonomy code is 207QB0002X with license number 207Q00000X (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. Medi-weightloss Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Medi-weightloss Clinic. The authorized official of this NPI record is Luiza F Petre M.d. (Owner)
- NPI
- 1497127260
- Provider Legal Name
- OPTIMAL WELLNESS OF WEST HARTFORD,LLC
- Other Organization Name
- MEDI-WEIGHTLOSS CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1001 FARMINGTON AVE WEST HARTFORD, CT 06107
- Location Phone
- (860) 213-8365
- Mailing Address
- 1001 FARMINGTON AVE WEST HARTFORD, CT 06107
- Mailing Phone
- (860) 213-8365
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-20-2015
- Last Update Date
- 10-20-2015
- Code Navigator
A primary care provider (PCP) like Medi-weightloss Clinic 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 Obesity Medicine
- Taxonomy Code
- 207QB0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 207Q00000X
- License State
- CT
- Taxonomy Description
- A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
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 | 207RB0002X | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X |
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.
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
- 07D2071537
- Facility Type
- Other - WEIGHT LOSS CENTER
- Certificate Effective Date
- January 14, 2024
- Certificate Expiration Date
- January 13, 2026
- Laboratory Director
- LUIZA F. PETRE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medi-weightloss Clinic 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 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 | 9 | 7 | 1 | 2 | 7 | 2 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 2 | 2 | 14 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 2 + 2 + 1 + 4 + 2 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1497127260 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
DR. DAVID MICHAEL RUSSELL PH.D.
Psychologist
(Clinical)
1001 FARMINGTON AVE
SUITE 304
WEST HARTFORD, CT
ZIP 06107
DR. KERRI LYNN CRANFORD BAKER PSY.D.
Psychologist
(Clinical)
1001 FARMINGTON AVE
SUITE 304
WEST HARTFORD, CT
ZIP 06107
MCH/RUSSELL ASSOCIATES,LLC
Counselor
(Mental Health)
1001 FARMINGTON AVE
SUITE 304
WEST HARTFORD, CT
ZIP 06107
CHELI LANGE LPC
Counselor
(Mental Health)
1001 FARMINGTON AVE
SUITE 304
WEST HARTFORD, CT
ZIP 06107
AARON MELE R.D., CDN
Dietitian, Registered
1001 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06107
MS. JESSICA L HAGGETT APRN
Nurse Practitioner
(Family)
1001 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06107
CT COMPREHENSIVE MEDICAL PLLC
Family Medicine
(Obesity Medicine)
1001 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497127260, enumerated as an "organization" on October 20, 2015.
The provider is located at 1001 FARMINGTON AVE WEST HARTFORD, CT 06107 and the phone number is (860) 213-8365.
Family Medicine with taxonomy code 207QB0002X and a focus in Obesity Medicine.
