COMMONWEALTH COMMUNITY CARE CENTERS, LLC
NPI 1568094670
Dermatology - Procedural Dermatology in Prestonsburg, KY
NPI Status: Active since February 06, 2020
Contact Information
154 N LAKE DR
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 506-5093
Fax: (606) 506-5039
- Organization
- Dermatology
- Procedural Dermatology
- CLIA Number: 18D2196777
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 10-19-2026
About COMMONWEALTH COMMUNITY CARE CENTERS, LLC
This page provides the complete NPI Profile along with additional information for Commonwealth Community Care Centers, Llc, a provider established in Prestonsburg, Kentucky operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1568094670 assigned on February 2020. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Commonwealth Community Care Centers, Llc 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 Mrs. Yvette Wisener Cpc (Billing)
- NPI
- 1568094670
- Provider Name
- COMMONWEALTH COMMUNITY CARE CENTERS, LLC
- Entity Type
- Organization
- Location Address
- 154 N LAKE DR PRESTONSBURG, KY 41653
- Location Phone
- (606) 506-5093
- Location Fax
- (606) 506-5039
- Mailing Address
- 156 NORTH LAKE DRIVE PRESTONBURG, KY 41653
- Mailing Phone
- (606) 506-5093
- Mailing Fax
- (606) 506-5039
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2020
- Last Update Date
- 09-02-2022
- Code Navigator
Location Map
Secondary Locations
- 601 N Shore Dr Ste 203
Jeffersonville, IN 47130
(606) 263-4283 - 2008 Merchant Dr
Richmond, KY 40475
(606) 263-4283 - 4010 DuPont Cir Ste 370
Louisville, KY 40207
(606) 263-4283
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
Dermatology Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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
- 18D2196777
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- October 20, 2024
- Certificate Expiration Date
- October 19, 2026
- Laboratory Director
- MR. BENJAMIN D. FERGUSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Commonwealth Community Care Centers, Llc 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 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 1568094670, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PRESTONSBURG, KY 41653
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568094670, enumerated as an "organization" on February 06, 2020.
The provider is located at 154 N LAKE DR PRESTONSBURG, KY 41653 and the phone number is (606) 506-5093.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
