HEART & VASCULAR CENTER OF WEST TENNESSEE
NPI 1629016399
Internal Medicine - Cardiovascular Disease in Jackson, TN

NPI Status: Active since June 03, 2006

Contact Information

17 CENTRE PLAZA DR
JACKSON, TN
ZIP 38305
Phone: (731) 512-0104
Fax: (731) 512-0938

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About HEART & VASCULAR CENTER OF WEST TENNESSEE

This page provides the complete NPI Profile along with additional information for Heart & Vascular Center Of West Tennessee, an internist established in Jackson, Tennessee operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1629016399 assigned on June 2006. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Heart & Vascular Center Of West Tennessee operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Heart & Vascular Center Of West Tennessee. The authorized official of this NPI record is Elie Hage-korban M.d. (Authorized Official)

NPI
1629016399
Provider Legal Name
DELTA CONVENIENT CARE PC
Other Organization Name
HEART & VASCULAR CENTER OF WEST TENNESSEE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17 CENTRE PLAZA DR JACKSON, TN 38305
Location Phone
(731) 512-0104
Location Fax
(731) 512-0938
Mailing Address
17 CENTRE PLAZA DR JACKSON, TN 38305
Mailing Phone
(731) 512-0104
Mailing Fax
(731) 512-0938
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2006
Last Update Date
06-05-2014
Code Navigator

An internist like Heart & Vascular Center Of West Tennessee is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

(TN)
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

ELIE HAGE-KORBAN M.D.

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(731) 512-0104

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
3720558MEDICARE PIN (08)TN 
3720558MEDICAID (05)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 1629016399, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
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 2 → 4 0 → 0 6 → 12 → 3 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 + 4 + 9 + 0 + 1 + 1 + 2 + 3 + 1 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1629016399.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Nurse Practitioner (Family)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Nurse Practitioner (Family)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Clinical Cardiac Electrophysiology)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Internal Medicine (Cardiovascular Disease)
17 CENTRE PLAZA DR
JACKSON, TN 38305
Nurse Practitioner
17 CENTRE PLAZA DR
JACKSON, TN 38305
Specialist
17 CENTRE PLAZA DR
JACKSON, TN 38305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629016399, enumerated as an "organization" on June 03, 2006.

The provider is located at 17 CENTRE PLAZA DR JACKSON, TN 38305 and the phone number is (731) 512-0104.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

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