ST. BONAVENTURE SPORTS MEDICINE
NPI 1710407945
Orthopaedic Surgery in Saint Bonaventure, NY
NPI Status: Active since June 20, 2017
Contact Information
3261 W STATE RD
SAINT BONAVENTURE, NY
ZIP 14778
Phone: (972) 367-4845
- Organization
- Orthopaedic Surgery
- CLIA Number: 33D2187924
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 03-26-2027
About ST. BONAVENTURE SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for St. Bonaventure Sports Medicine, a provider established in Saint Bonaventure, New York operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1710407945 assigned on June 2017. The practitioner's primary taxonomy code is 207X00000X with license number 211943-2 (NY). The provider is registered as an organization and their NPI record was last updated 9 years ago. St. Bonaventure Sports Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St. Bonaventure Sports Medicine. The authorized official of this NPI record is Mouzon Bass Iii (Agent)
- NPI
- 1710407945
- Provider Legal Name
- ST. BONAVENTURE UNIVERSITY
- Other Organization Name
- ST. BONAVENTURE SPORTS MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3261 W STATE RD SAINT BONAVENTURE, NY 14778
- Location Phone
- (972) 367-4845
- Mailing Address
- 5050 SPRING VALLEY RD DALLAS, TX 75244
- Mailing Phone
- (972) 367-4845
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-20-2017
- Last Update Date
- 06-20-2017
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 211943-2
- License State
- NY
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2187924
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- July 09, 2020
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- FRANCESCA T. PARRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Bonaventure Sports Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1710407945, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SAINT BONAVENTURE, NY 14778
SAINT BONAVENTURE, NY 14778
SAINT BONAVENTURE, NY 14778
SAINT BONAVENTURE, NY 14778
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710407945, enumerated as an "organization" on June 20, 2017.
The provider is located at 3261 W STATE RD SAINT BONAVENTURE, NY 14778 and the phone number is (972) 367-4845.
Orthopaedic Surgery with taxonomy code 207X00000X.
