CONWAY PEDIATRICS,PA
NPI 1518986637
Legal Medicine in Conway, SC

NPI Status: Active since July 19, 2006

Contact Information

907 BELL ST
CONWAY, SC
ZIP 29526
Phone: (843) 248-2727
Fax: (843) 248-5107

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  • Organization
  • Legal Medicine
  • Accepts Insurance

About CONWAY PEDIATRICS,PA

This page provides the complete NPI Profile along with additional information for Conway Pediatrics,pa, a provider established in Conway, South Carolina operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1518986637 assigned on July 2006. The practitioner's primary taxonomy code is 173000000X with license number 4548 (SC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Thomas Petrusick Md (Doctor)

NPI
1518986637
Provider Name
CONWAY PEDIATRICS,PA
Entity Type
Organization
Location Address
907 BELL ST CONWAY, SC 29526
Location Phone
(843) 248-2727
Location Fax
(843) 248-5107
Mailing Address
907 BELL ST CONWAY, SC 29526
Mailing Phone
(843) 248-2727
Mailing Fax
(843) 248-5107
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2006
Last Update Date
02-20-2014
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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

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
4548
License State
SC
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

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:

  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Premier - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Essential - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO

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. THOMAS PETRUSICK MD

Authorized Official Title
DOCTOR
Authorized Official Phone
(843) 248-2727

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
RHC063MEDICAID (05)SC 
C60512MEDICARE UPIN (02)SC 
=========OTHER (01)SCTAX ID #

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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 1518986637, 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 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
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
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 1 → 2 9 → 18 → 9 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 2 + 8 + 1 + 8 + 8 + 1 + 2 + 6 + 6 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1518986637.

Other Providers at the Same Location


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

Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
907 BELL ST
CONWAY, SC 29526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518986637, enumerated as an "organization" on July 19, 2006.

The provider is located at 907 BELL ST CONWAY, SC 29526 and the phone number is (843) 248-2727.

Legal Medicine with taxonomy code 173000000X.

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