PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
NPI 1639458383
Internal Medicine - Cardiovascular Disease in Port Clinton, OH

NPI Status: Active since August 12, 2011

Contact Information

615 FULTON ST
PORT CLINTON, OH
ZIP 43452
Phone: (419) 734-3131
Fax: (419) 732-8217

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 36D2277904
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-06-2027

About PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC

This page provides the complete NPI Profile along with additional information for Promedica Northwest Ohio Cardiology Consultants, Llc, an internist established in Port Clinton, Ohio operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1639458383 assigned on August 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 15 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 Amy L Bahnsen (Credentialing Supervisor)

NPI
1639458383
Provider Name
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
Entity Type
Organization
Location Address
615 FULTON ST PORT CLINTON, OH 43452
Location Phone
(419) 734-3131
Location Fax
(419) 732-8217
Mailing Address
615 FULTON ST PORT CLINTON, OH 43452
Mailing Phone
(419) 734-3131
Mailing Fax
(419) 732-8217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2011
Last Update Date
08-12-2011
Code Navigator

An internist like Promedica Northwest Ohio Cardiology Consultants, Llc 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.

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.

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

AMY L BAHNSEN

Authorized Official Title
CREDENTIALING SUPERVISOR
Authorized Official Phone
(419) 824-7334

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2277904
Facility Type
Physician Office
Certificate Effective Date
March 07, 2025
Certificate Expiration Date
March 06, 2027
Laboratory Director
ALEXANDRA ROJAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Promedica Northwest Ohio Cardiology Consultants, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1639458383, 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 3 → 6 4 → 8 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 8 + 5 + 1 + 6 + 3 + 1 + 6 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1639458383.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
615 FULTON ST
PORT CLINTON, OH 43452
Radiology (Diagnostic Radiology)
615 FULTON ST
PORT CLINTON, OH 43452
Emergency Medicine
615 FULTON ST
PORT CLINTON, OH 43452
Internal Medicine (Hematology & Oncology)
615 FULTON ST
PORT CLINTON, OH 43452
Specialist/Technologist, Other (Surgical Assistant)
615 FULTON ST
PORT CLINTON, OH 43452
Specialist/Technologist (Athletic Trainer)
615 FULTON ST
PORT CLINTON, OH 43452
Physical Therapy Assistant
615 FULTON ST
PORT CLINTON, OH 43452
Dietitian, Registered
615 FULTON ST
PORT CLINTON, OH 43452
Pharmacist
615 FULTON ST
PORT CLINTON, OH 43452
Pharmacist
615 FULTON ST
PORT CLINTON, OH 43452
Emergency Medical Technician, Intermediate
615 FULTON ST
PORT CLINTON, OH 43452
Pharmacy (Community/Retail Pharmacy)
615 FULTON ST
PORT CLINTON, OH 43452
Pharmacist
615 FULTON ST
PORT CLINTON, OH 43452
Emergency Medicine
615 FULTON ST
PORT CLINTON, OH 43452
Emergency Medicine
615 FULTON ST
PORT CLINTON, OH 43452
Pharmacist
615 FULTON ST
PORT CLINTON, OH 43452
Physical Therapist
615 FULTON ST
PORT CLINTON, OH 43452
Nurse Practitioner (Gerontology)
615 FULTON ST
PORT CLINTON, OH 43452
Pharmacist
615 FULTON ST
PORT CLINTON, OH 43452
Clinic/Center (Urgent Care)
615 FULTON ST
PORT CLINTON, OH 43452

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639458383, enumerated as an "organization" on August 12, 2011.

The provider is located at 615 FULTON ST PORT CLINTON, OH 43452 and the phone number is (419) 734-3131.

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