DOMENIC J DEMICHELE,MD,PC
NPI 1699960054
Preferred Provider Organization in Florence, SC

NPI Status: Active since September 10, 2007

Contact Information

125 S CASHUA DR
SUITE A
FLORENCE, SC
ZIP 29501
Phone: (843) 669-1615
Fax: (843) 669-1613

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About DOMENIC J DEMICHELE,MD,PC

This page provides the complete NPI Profile along with additional information for Domenic J Demichele,md,pc, a provider established in Florence, South Carolina operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1699960054 assigned on September 2007. The practitioner's primary taxonomy code is 305R00000X with license number 15062 (SC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Domenic J Demichele M.d., Ph.d. (Owner)

NPI
1699960054
Provider Name
DOMENIC J DEMICHELE,MD,PC
Entity Type
Organization
Location Address
125 S CASHUA DR SUITE A FLORENCE, SC 29501
Location Phone
(843) 669-1615
Location Fax
(843) 669-1613
Mailing Address
125 A CASHUA DR FLORENCE, SC 29501
Mailing Phone
(843) 669-1615
Mailing Fax
(843) 669-1613
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2007
Last Update Date
09-12-2007
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
15062
License State
SC
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

DR. DOMENIC J DEMICHELE M.D., PH.D.

Authorized Official Title
OWNER
Authorized Official Phone
(843) 669-1615

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
E79163MEDICARE UPIN (02)SC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699960054
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891860010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 8 + 6 + 0 + 0 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1699960054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MARGARET H. HOFFMEYER MD

Family Medicine

125 S CASHUA DR
FLORENCE, SC
ZIP 29501

(843) 667-3273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699960054, enumerated as an "organization" on September 10, 2007.

The provider is located at 125 S CASHUA DR SUITE A FLORENCE, SC 29501 and the phone number is (843) 669-1615.

Preferred Provider Organization with taxonomy code 305R00000X.

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