PEMBROKE MEDICAL CLINIC
NPI 1609985407
Family Medicine in San Antonio, TX

NPI Status: Active since August 29, 2006

Contact Information

9711 HUEBNER
BLDG 2
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 641-6559
Fax: (210) 699-9968

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  • Organization
  • Family Medicine

About PEMBROKE MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Pembroke Medical Clinic, a primary care provider established in San Antonio, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1609985407 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number H2361 (TX). The provider is registered as an organization and their NPI record was last updated 16 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 provider's is doing business as Pembroke Medical Clinic. The authorized official of this NPI record is Dr. Carl Frederick Erickson Md (Owner Physician)

NPI
1609985407
Provider Legal Name
CARL F. ERICKSON, MD PA
Other Organization Name
PEMBROKE MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9711 HUEBNER BLDG 2 SAN ANTONIO, TX 78240
Location Phone
(210) 641-6559
Location Fax
(210) 699-9968
Mailing Address
9711 HUEBNER BLDG 2 SAN ANTONIO, TX 78240
Mailing Phone
(210) 641-6559
Mailing Fax
(210) 699-9968
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2006
Last Update Date
04-09-2010
Code Navigator

A primary care provider (PCP) like Pembroke Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
H2361
License State
TX
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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

DR. CARL FREDERICK ERICKSON MD

Authorized Official Title
OWNER PHYSICIAN
Authorized Official Phone
(210) 641-6559

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
00302TMEDICARE ID-TYPE UNSPECIFIED (04)TXGROUP
5041089OTHER (01)TXAETNA
0002HDOTHER (01)TXBC/BS GROUP
8F3210OTHER (01)TXBC/BS INDIVIDUAL
E39475MEDICARE UPIN (02)TX 
102522303MEDICAID (05)TX 
8607B0MEDICARE ID-TYPE UNSPECIFIED (04)TXINDIVIDUAL
150274201MEDICAID (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 1609985407, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 1 + 8 + 8 + 1 + 0 + 4 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1609985407.

Other Providers at the Same Location


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

Clinic/Center (Urgent Care)
9711 HUEBNER, SUITE 3
SAN ANTONIO, TX 78240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609985407, enumerated as an "organization" on August 29, 2006.

The provider is located at 9711 HUEBNER BLDG 2 SAN ANTONIO, TX 78240 and the phone number is (210) 641-6559.

Family Medicine with taxonomy code 207Q00000X.

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