KEYSTONE PLASTIC RECONSTRUCTIVE SURGERY,LLC
NPI 1598977290
Surgery - Plastic and Reconstructive Surgery in The Woodlands, TX

NPI Status: Active since May 04, 2007

Contact Information

3115 COLLEGE PARK DR
SUITE 101
THE WOODLANDS, TX
ZIP 77384
Phone: (936) 321-4345
Fax: (936) 321-4353

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  • Organization
  • Surgery
  • Plastic and Reconstructive Surgery

About KEYSTONE PLASTIC RECONSTRUCTIVE SURGERY,LLC

This page provides the complete NPI Profile along with additional information for Keystone Plastic Reconstructive Surgery,llc, a provider established in The Woodlands, Texas operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1598977290 assigned on May 2007. The practitioner's primary taxonomy code is 2086S0122X. The provider is registered as an organization and their NPI record was last updated 11 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 Thomas O Shannon Md (General Manager)

NPI
1598977290
Provider Name
KEYSTONE PLASTIC RECONSTRUCTIVE SURGERY,LLC
Entity Type
Organization
Location Address
3115 COLLEGE PARK DR SUITE 101 THE WOODLANDS, TX 77384
Location Phone
(936) 321-4345
Location Fax
(936) 321-4353
Mailing Address
3115 COLLEGE PARK DR SUITE 101 THE WOODLANDS, TX 77384
Mailing Phone
(936) 321-4345
Mailing Fax
(936) 321-4353
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2007
Last Update Date
09-16-2015
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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

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

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

THOMAS O SHANNON MD

Authorized Official Title
GENERAL MANAGER
Authorized Official Phone
(936) 321-4345

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
080725701MEDICAID (05)TX 

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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 1598977290, 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 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 8 + 8 + 1 + 8 + 7 + 1 + 4 + 2 + 1 + 8 + 24 = 80

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

The next multiple of ten after 80 is 80. The difference is the calculated check digit.

80 - 80 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1598977290.

Other Providers at the Same Location


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

Anesthesiology (Pain Medicine)
3115 COLLEGE PARK DR, UNIT 103C
THE WOODLANDS, TX 77384
Anesthesiology (Pain Medicine)
3115 COLLEGE PARK DR, UNIT 103C
THE WOODLANDS, TX 77384
Neuromusculoskeletal Medicine, Sports Medicine
3115 COLLEGE PARK DR
THE WOODLANDS, TX 77384
Chiropractor
3115 COLLEGE PARK DR, 106
THE WOODLANDS, TX 77384
Internal Medicine (Hematology & Oncology)
3115 COLLEGE PARK DR, SUITE 108
THE WOODLANDS, TX 77384
Specialist
3115 COLLEGE PARK DR, UNIT 103C
THE WOODLANDS, TX 77384
Specialist
3115 COLLEGE PARK DR, UNIT 103C
THE WOODLANDS, TX 77384
Registered Nurse (Pediatrics)
3115 COLLEGE PARK DR, SUITE 104
CONROE, TX 77384
Radiologic Technologist
3115 COLLEGE PARK DR, STE 104
THE WOODLANDS, TX 77384
Emergency Medicine
3115 COLLEGE PARK DR, SUITE 108
THE WOODLANDS, TX 77384
Pediatrics
3115 COLLEGE PARK DR, STE #104
CONROE, TX 77384
Pediatrics
3115 COLLEGE PARK DR, STE 104
CONROE, TX 77384
Specialist/Technologist, Other
3115 COLLEGE PARK DR, SUITE #104
CONROE, TX 77384
Nurse Practitioner (Pediatrics)
3115 COLLEGE PARK DR, SUITE 104
CONROE, TX 77384
Licensed Practical Nurse
3115 COLLEGE PARK DR, SUITE 104
CONROE, TX 77384
Clinic/Center (Ambulatory Surgical)
3115 COLLEGE PARK DR, SUITE101
THE WOODLANDS, TX 77384
Internal Medicine (Gastroenterology)
3115 COLLEGE PARK DR, SUITE 107
THE WOODLANDS, TX 77384
Internal Medicine (Pulmonary Disease)
3115 COLLEGE PARK DR, STE 100
THE WOODLANDS, TX 77384
Chiropractor (Rehabilitation)
3115 COLLEGE PARK DR, SUITE 101
THE WOODLANDS, TX 77384
Clinic/Center
3115 COLLEGE PARK DR, SUITE 108
CONROE, TX 77384

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598977290, enumerated as an "organization" on May 04, 2007.

The provider is located at 3115 COLLEGE PARK DR SUITE 101 THE WOODLANDS, TX 77384 and the phone number is (936) 321-4345.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

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