ELA DOC TREE
NPI 1669910675
Clinic/Center in Cordele, GA

NPI Status: Active since February 09, 2017

Contact Information

416 E 3RD AVE
CORDELE, GA
ZIP 31015
Phone: (813) 724-3204
Fax: (585) 433-5039

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  • Organization
  • Clinic/Center

About ELA DOC TREE

This page provides the complete NPI Profile along with additional information for Ela Doc Tree, a provider established in Cordele, Georgia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1669910675 assigned on February 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Ela Doc Tree. The authorized official of this NPI record is Dr. Jose Miguel Lopez M.d. (Owner/medical Director)

NPI
1669910675
Provider Legal Name
TECH MEDICAL CENTER, LLC
Other Organization Name
ELA DOC TREE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
416 E 3RD AVE CORDELE, GA 31015
Location Phone
(813) 724-3204
Location Fax
(585) 433-5039
Mailing Address
416 E 3RD AVE CORDELE, GA 31015
Mailing Phone
(813) 724-3204
Mailing Fax
(585) 433-5039
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-09-2017
Last Update Date
02-09-2017
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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. JOSE MIGUEL LOPEZ M.D.

Authorized Official Title
OWNER/MEDICAL DIRECTOR
Authorized Official Phone
(646) 462-9251

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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 1669910675, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 6 → 12 → 3 9 → 18 → 9 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 8 + 1 + 0 + 6 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1669910675.

Other Providers at the Same Location


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

Dentist (General Practice)
416 E 3RD AVE
CORDELE, GA 31015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669910675, enumerated as an "organization" on February 09, 2017.

The provider is located at 416 E 3RD AVE CORDELE, GA 31015 and the phone number is (813) 724-3204.

Clinic/Center with taxonomy code 261Q00000X.