WEST BEND CLINIC SOUTH
NPI 1558371104
Obstetrics & Gynecology in West Bend, WI

NPI Status: Active since August 08, 2006

Contact Information

3200 PLEASANT VALLEY RD
WEST BEND, WI
ZIP 53095
Phone: (262) 334-3451

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  • Organization
  • Obstetrics & Gynecology

About WEST BEND CLINIC SOUTH

This page provides the complete NPI Profile along with additional information for West Bend Clinic South, a women's health care provider established in West Bend, Wisconsin operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1558371104 assigned on August 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. West Bend Clinic South operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is West Bend Clinic South. The authorized official of this NPI record is Gregory G Blommel (Medical Director)

NPI
1558371104
Provider Legal Name
WEST BEND CLINIC, INC.
Other Organization Name
WEST BEND CLINIC SOUTH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3200 PLEASANT VALLEY RD WEST BEND, WI 53095
Location Phone
(262) 334-3451
Mailing Address
1700 W PARADISE DR WEST BEND, WI 53095
Mailing Phone
(262) 334-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2006
Last Update Date
05-23-2012
Code Navigator

Women's health care providers like West Bend Clinic South treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
2207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 
3207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
4207VM0101XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Maternal & Fetal Medicine

 
5208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
6208600000XAllopathic & Osteopathic Physicians

Surgery

 
7332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

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:

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

GREGORY G BLOMMEL

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(262) 334-3451

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
21251400MEDICAID (05)WI 
67025MEDICARE ID-TYPE UNSPECIFIED (04)WIGROUP NUMBER
4409930006MEDICARE NSC (07)WI 

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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 1558371104, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 3 → 6 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 6 + 7 + 2 + 1 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1558371104.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
3200 PLEASANT VALLEY RD, DEPARTMENT OF PATHOLOGY
WEST BEND, WI 53095
Pathology (Anatomic Pathology & Clinical Pathology)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Skilled Nursing Facility
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Occupational Therapist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Occupational Therapy Assistant
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Dietitian, Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Dietitian, Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Practitioner (Pediatrics)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Specialist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Occupational Therapist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Practitioner (Family)
3200 PLEASANT VALLEY RD, INTERNAL MEDICINE
WEST BEND, WI 53095
Registered Nurse
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Practitioner
3200 PLEASANT VALLEY RD, KRAEMER CANCER CARE CENTER
WEST BEND, WI 53095
Internal Medicine (Pulmonary Disease)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Internal Medicine (Pulmonary Disease)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558371104, enumerated as an "organization" on August 08, 2006.

The provider is located at 3200 PLEASANT VALLEY RD WEST BEND, WI 53095 and the phone number is (262) 334-3451.

Obstetrics & Gynecology with taxonomy code 207V00000X.

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