LAKEVIEW NEUROSURGERY CLINIC, LLC
NPI 1619919396
Neurological Surgery in Bountiful, UT

NPI Status: Active since June 10, 2006

Contact Information

620 MEDICAL DR
SUITE 300
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 299-3871

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  • Organization
  • Neurological Surgery

About LAKEVIEW NEUROSURGERY CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Lakeview Neurosurgery Clinic, Llc, a provider established in Bountiful, Utah operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1619919396 assigned on June 2006. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 18 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 Jeff Rydburg (Vp)

NPI
1619919396
Provider Name
LAKEVIEW NEUROSURGERY CLINIC, LLC
Entity Type
Organization
Location Address
620 MEDICAL DR SUITE 300 BOUNTIFUL, UT 84010
Location Phone
(801) 299-3871
Mailing Address
620 MEDICAL DR SUITE 300 BOUNTIFUL, UT 84010
Mailing Phone
(801) 299-3871
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2006
Last Update Date
08-27-2008
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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

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

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

JEFF RYDBURG

Authorized Official Title
VP
Authorized Official Phone
(801) 299-3871

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
DF9134MEDICARE PIN (08) 
000059534MEDICARE PIN (08)UT 

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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 1619919396, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 8 + 1 + 1 + 8 + 3 + 1 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1619919396.

Other Providers at the Same Location


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

Obstetrics & Gynecology
620 MEDICAL DR, SUITE 340
BOUNTIFUL, UT 84010
Obstetrics & Gynecology
620 MEDICAL DR, SUITE 340
BOUNTIFUL, UT 84010
Obstetrics & Gynecology
620 MEDICAL DR, SUITE 340
BOUNTIFUL, UT 84010
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Plastic Surgery (Surgery of the Hand)
620 MEDICAL DR, SUITE 310
BOUNTIFUL, UT 84010
Pathology (Anatomic Pathology & Clinical Pathology)
620 MEDICAL DR
BOUNTIFUL, UT 84010
Neurological Surgery
620 MEDICAL DR, SUITE 300
BOUNTIFUL, UT 84010
Plastic Surgery (Surgery of the Hand)
620 MEDICAL DR, SUITE 310
BOUNTIFUL, UT 84010
Neurological Surgery
620 MEDICAL DR, SUITE 150
BOUNTIFUL, UT 84010
Family Medicine
620 MEDICAL DR, SUITE 150
BOUNTIFUL, UT 84010
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Pediatrics
620 MEDICAL DR, #100
BOUNTIFUL, UT 84010
Pediatrics
620 MEDICAL DR, #100
BOUNTIFUL, UT 84010
Surgery (Plastic and Reconstructive Surgery)
620 MEDICAL DR, SUITE 310
BOUNTIFUL, UT 84010
Pediatrics
620 MEDICAL DR, SUITE 100
BOUNTIFUL, UT 84010
Physician Assistant (Medical)
620 MEDICAL DR, SUITE 205
BOUNTIFUL, UT 84010
Clinic/Center (Ambulatory Surgical)
620 MEDICAL DR, SUITE 200
BOUNTIFUL, UT 84010
Psychiatry & Neurology (Neurology)
620 MEDICAL DR, SUITE 300
BOUNTIFUL, UT 84010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619919396, enumerated as an "organization" on June 10, 2006.

The provider is located at 620 MEDICAL DR SUITE 300 BOUNTIFUL, UT 84010 and the phone number is (801) 299-3871.

Neurological Surgery with taxonomy code 207T00000X.

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