ANNETTE L HEADLEY MD LLC
NPI 1568772242
Dermatology in Mystic, CT
NPI Status: Active since October 15, 2010
Contact Information
56 WHITEHALL AVE
MYSTIC, CT
ZIP 06355
Phone: (860) 536-1354
Fax: (860) 536-7043
- Organization
- Dermatology
About ANNETTE L HEADLEY MD LLC
This page provides the complete NPI Profile along with additional information for Annette L Headley Md Llc, a provider established in Mystic, Connecticut operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1568772242 assigned on October 2010. The practitioner's primary taxonomy code is 207N00000X with license number 034245 (CT). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Annette L Headley Md (Proprietor/physician)
- NPI
- 1568772242
- Provider Name
- ANNETTE L HEADLEY MD LLC
- Entity Type
- Organization
- Location Address
- 56 WHITEHALL AVE MYSTIC, CT 06355
- Location Phone
- (860) 536-1354
- Location Fax
- (860) 536-7043
- Mailing Address
- 56 WHITEHALL AVE MYSTIC, CT 06355
- Mailing Phone
- (860) 536-1354
- Mailing Fax
- (860) 536-7043
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2010
- Last Update Date
- 11-09-2010
- Code Navigator
A dermatologist like Annette L Headley Md Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 034245
- License State
- CT
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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:
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.
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 |
|---|---|---|---|
| 1295841682 | OTHER (01) | CT | PERSONAL NPI NUMBER |
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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 | 5 | 6 | 8 | 7 | 7 | 2 | 2 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 14 | 7 | 4 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 4 + 7 + 4 + 2 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1568772242 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
MS. ANNE MARIA TIMMERMAN MD
Internal Medicine
56 WHITEHALL AVE
RT 27
MYSTIC, CT
ZIP 06355
MR. EDMUND A P WEST MD
Internal Medicine
56 WHITEHALL AVE
RT 27
MYSTIC, CT
ZIP 06355
SEAPORT CLINIC LLC
Internal Medicine
56 WHITEHALL AVE
RT 27
MYSTIC, CT
ZIP 06355
J. ANDREW HALLBERG, MD, LLC
Specialist
56 WHITEHALL AVE
SUITE A
MYSTIC, CT
ZIP 06355
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568772242, enumerated as an "organization" on October 15, 2010.
The provider is located at 56 WHITEHALL AVE MYSTIC, CT 06355 and the phone number is (860) 536-1354.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
