EVANSVILLE ADVANCED TREATMENT CENTER
NPI 1548707425
Internal Medicine in Evansville, IN
NPI Status: Active since January 30, 2017
Contact Information
4972 LINCOLN AVE
SUITE 201
EVANSVILLE, IN
ZIP 47715
Phone: (812) 402-4645
Fax: (812) 402-4611
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 15D0987278
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About EVANSVILLE ADVANCED TREATMENT CENTER
This page provides the complete NPI Profile along with additional information for Evansville Advanced Treatment Center, an internist established in Evansville, Indiana operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1548707425 assigned on January 2017. The practitioner's primary taxonomy code is 207R00000X with license number 01061287A (IN). The provider is registered as an organization and their NPI record was last updated 9 years ago. Evansville Advanced Treatment Center 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 Arin Mcmanaway (Office Manager)
- NPI
- 1548707425
- Provider Name
- EVANSVILLE ADVANCED TREATMENT CENTER
- Entity Type
- Organization
- Location Address
- 4972 LINCOLN AVE SUITE 201 EVANSVILLE, IN 47715
- Location Phone
- (812) 402-4645
- Location Fax
- (812) 402-4611
- Mailing Address
- 4972 LINCOLN AVE STE 101 EVANSVILLE, IN 47715
- Mailing Phone
- (812) 303-9539
- Mailing Fax
- (812) 402-4611
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-30-2017
- Last Update Date
- 12-18-2017
- Code Navigator
An internist like Evansville Advanced Treatment Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01061287A
- License State
- IN
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 15D0987278
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 01, 2001
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- DON DOMENICO
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Evansville Advanced Treatment Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1548707425, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
EVANSVILLE, IN 47715
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548707425, enumerated as an "organization" on January 30, 2017.
The provider is located at 4972 LINCOLN AVE SUITE 201 EVANSVILLE, IN 47715 and the phone number is (812) 402-4645.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.
