PHILIP M MARDEN MD SC
NPI 1700996576
Pediatrics in Oconomowoc, WI

NPI Status: Active since August 30, 2006

Contact Information

340 SUMMIT AVENUE
OCONOMOWOC, WI
ZIP 53066
Phone: (262) 567-0366
Fax: (262) 567-0368

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  • Organization
  • Pediatrics

About PHILIP M MARDEN MD SC

This page provides the complete NPI Profile along with additional information for Philip M Marden Md Sc, a pediatrician established in Oconomowoc, Wisconsin operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1700996576 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X with license number 14664 (WI). The provider is registered as an organization and their NPI record was last updated 14 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 Philip Manuel Marden Md (President)

NPI
1700996576
Provider Name
PHILIP M MARDEN MD SC
Entity Type
Organization
Location Address
340 SUMMIT AVENUE OCONOMOWOC, WI 53066
Location Phone
(262) 567-0366
Location Fax
(262) 567-0368
Mailing Address
340 SUMMIT AVENUE OCONOMOWOC, WI 53066
Mailing Phone
(262) 567-0366
Mailing Fax
(262) 567-0368
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2006
Last Update Date
12-06-2012
Code Navigator

A pediatrician like Philip M Marden Md Sc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
14664
License State
WI
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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)
1207KA0200XAllopathic & Osteopathic Physicians

Allergy & Immunology
Allergy

14664 (WI)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

14664 (WI)

Group Taxonomy 193400000X MULTIPLE 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.

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.

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.

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.

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

PHILIP MANUEL MARDEN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(262) 667-0366

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
=========019OTHER (01)BLUE CROSS AND COMPCARE
B54821MEDICARE UPIN (02) 
213688OTHER (01)ONE HEALTH PLAN
MARDENPHIOTHER (01)MERCYCARE HEALTH PLANS
718112OTHER (01)MANAGED HEALTH SERVICES
14664OTHER (01)MEDICAL LICENSE
W003437OTHER (01)CHAMPUS
112760524654OTHER (01)HUMANA
52D0388538OTHER (01)CLIA CERTIFICATE
4308968OTHER (01)AETNA
=========ZOOTHER (01)UNITY HEALTH INSURANCE
1000283OTHER (01)PHYSICIANS PLUS INSURANCE
1200110OTHER (01)UNITED HEALTH CARE
12659OTHER (01)DEAN HEALTH PLAN
=========AOTHER (01)HUMANA
AS68366510001OTHER (01)CIGNA
31212300MEDICAID (05)WI 

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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 1700996576, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 1 + 8 + 9 + 1 + 2 + 5 + 1 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1700996576.

Other Providers at the Same Location


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

Pediatrics
340 SUMMIT AVENUE
OCONOMOWOC, WI 53066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700996576, enumerated as an "organization" on August 30, 2006.

The provider is located at 340 SUMMIT AVENUE OCONOMOWOC, WI 53066 and the phone number is (262) 567-0366.

Pediatrics with taxonomy code 208000000X.

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