JOHNSON CITY UROLOGICAL CLINIC, P.C.
NPI 1578689253
Urology - Pediatric Urology in Johnson City, TN

NPI Status: Active since March 22, 2007

Contact Information

2340 KNOB CREEK ROAD
SUITE 720
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 926-6112
Fax: (423) 434-0278

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  • Organization
  • Urology
  • Pediatric Urology

About JOHNSON CITY UROLOGICAL CLINIC, P.C.

This page provides the complete NPI Profile along with additional information for Johnson City Urological Clinic, P.c., a provider established in Johnson City, Tennessee operating as a Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1578689253 assigned on March 2007. The practitioner's primary taxonomy code is 2088P0231X. The provider is registered as an organization and their NPI record was last updated 17 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 Grant D Taylor M.d. (Owner)

NPI
1578689253
Provider Name
JOHNSON CITY UROLOGICAL CLINIC, P.C.
Entity Type
Organization
Location Address
2340 KNOB CREEK ROAD SUITE 720 JOHNSON CITY, TN 37604
Location Phone
(423) 926-6112
Location Fax
(423) 434-0278
Mailing Address
2340 KNOB CREEK ROAD SUITE 720 JOHNSON CITY, TN 37604
Mailing Phone
(423) 926-6112
Mailing Fax
(423) 434-0278
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
Last Update Date
08-19-2009
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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

Urology Pediatric Urology

Taxonomy Code
2088P0231X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

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.

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

GRANT D TAYLOR M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(423) 926-6112

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
B03530MEDICARE UPIN (02)TN 
3875502MEDICARE ID-TYPE UNSPECIFIED (04)TN 
3172410MEDICAID (05)TN 
3375873MEDICARE ID-TYPE UNSPECIFIED (04)TN 
G70839MEDICARE UPIN (02)TN 
I32522MEDICARE UPIN (02)TN 
3329892MEDICARE ID-TYPE UNSPECIFIED (04)TN 
3172411MEDICARE ID-TYPE UNSPECIFIED (04)TN 
3852420MEDICARE ID-TYPE UNSPECIFIED (04)TN 
H58881MEDICARE UPIN (02)TN 

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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 1578689253, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 7 → 14 → 5 6 → 12 → 3 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 1 + 2 + 8 + 1 + 8 + 2 + 1 + 0 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1578689253.

Other Providers at the Same Location


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

Speech-Language Pathologist
2340 KNOB CREEK ROAD, SUITE 704
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578689253, enumerated as an "organization" on March 22, 2007.

The provider is located at 2340 KNOB CREEK ROAD SUITE 720 JOHNSON CITY, TN 37604 and the phone number is (423) 926-6112.

Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.

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