SOUTHSIDE PEDIATRICS & ADULT CARE LLC
NPI 1669970067
Clinic/Center - Primary Care in Hagerstown, MD

NPI Status: Active since January 31, 2018

Contact Information

1185 MOUNT AETNA RD STE 200
HAGERSTOWN, MD
ZIP 21740
Phone: (240) 513-6300

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  • Organization
  • Clinic/Center
  • Primary Care

About SOUTHSIDE PEDIATRICS & ADULT CARE LLC

This page provides the complete NPI Profile along with additional information for Southside Pediatrics & Adult Care Llc, a primary care provider established in Hagerstown, Maryland operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1669970067 assigned on January 2018. The practitioner's primary taxonomy code is 261QP2300X with license number 193525 (MD). The provider is registered as an organization and their NPI record was last updated 4 years ago. Southside Pediatrics & Adult Care Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Christa L Martin Dba South Side Pediatrics. The authorized official of this NPI record is Ms. Christa Martin Crnp (Owner)

NPI
1669970067
Provider Legal Name
SOUTHSIDE PEDIATRICS & ADULT CARE LLC
Other Organization Name
CHRISTA L MARTIN DBA SOUTH SIDE PEDIATRICS
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1185 MOUNT AETNA RD STE 200 HAGERSTOWN, MD 21740
Location Phone
(240) 513-6300
Mailing Address
1185 MOUNT AETNA RD STE 200 HAGERSTOWN, MD 21740
Mailing Phone
(240) 513-6300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2018
Last Update Date
06-09-2022
Code Navigator

A primary care provider (PCP) like Southside Pediatrics & Adult Care Llc 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 .

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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
193525
License State
MD

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

 

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

MS. CHRISTA MARTIN CRNP

Authorized Official Title
OWNER
Authorized Official Phone
(240) 513-6300

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
1053302455OTHER (01)MDINDIVIDUAL NPI

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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 1669970067, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

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 + 7 + 0 + 0 + 1 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1669970067.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1185 MOUNT AETNA RD STE 200
HAGERSTOWN, MD 21740
Pediatrics (Pediatric Cardiology)
1185 MOUNT AETNA RD STE 200
HAGERSTOWN, MD 21740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669970067, enumerated as an "organization" on January 31, 2018.

The provider is located at 1185 MOUNT AETNA RD STE 200 HAGERSTOWN, MD 21740 and the phone number is (240) 513-6300.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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