SOUTHWEST GENERAL MEDICAL GROUP
NPI 1639610702
Physician Assistant - Medical in Cleveland, OH

NPI Status: Active since March 09, 2017

Contact Information

18697 BAGLEY RD
CLEVELAND, OH
ZIP 44130
Phone: (440) 816-8200
Fax: (440) 816-8197

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  • Organization
  • Physician Assistant
  • Medical
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About SOUTHWEST GENERAL MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Southwest General Medical Group, a primary care provider established in Cleveland, Ohio operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1639610702 assigned on March 2017. The practitioner's primary taxonomy code is 363AM0700X with license number 50005004 (OH). The provider is registered as an organization and their NPI record was last updated 7 years ago. Southwest General Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Heather Wagner (Executive Director)

NPI
1639610702
Provider Name
SOUTHWEST GENERAL MEDICAL GROUP
Entity Type
Organization
Location Address
18697 BAGLEY RD CLEVELAND, OH 44130
Location Phone
(440) 816-8200
Location Fax
(440) 816-8197
Mailing Address
PO BOX 638269 CINCINNATI, OH 45263
Mailing Phone
(440) 289-2025
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2017
Last Update Date
02-28-2019
Code Navigator

A primary care provider (PCP) like Southwest General Medical Group 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 .

Southwest General Medical Group is a medicare supplier with PTAN 20540399 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
50005004
License State
OH

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.

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

HEATHER WAGNER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(440) 816-4906

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20540399
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

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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 1639610702, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 6 → 12 → 3 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 1 + 2 + 1 + 0 + 7 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1639610702.

Other Providers at the Same Location


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

Pharmacist
18697 BAGLEY RD
CLEVELAND, OH 44130
Radiology (Diagnostic Radiology)
18697 BAGLEY RD, RADIOLOGY DEPARTMENT
CLEVELAND, OH 44130
Radiology (Diagnostic Radiology)
18697 BAGLEY RD, RADIOLOGY DEPARTMENT
CLEVELAND, OH 44130
Physical Medicine & Rehabilitation
18697 BAGLEY RD
MIDDLEBURG HTS, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Physician Assistant
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Physician Assistant
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Anesthesiology
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Anesthesiologist Assistant
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Emergency Medicine
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639610702, enumerated as an "organization" on March 09, 2017.

The provider is located at 18697 BAGLEY RD CLEVELAND, OH 44130 and the phone number is (440) 816-8200.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.