WELLWARD
NPI 1720110182
Anesthesiology - Pain Medicine in Corbin, KY
NPI Status: Active since March 12, 2007
Contact Information
1100 CUMBERLAND FALLS HWY
CORBIN, KY
ZIP 40701
Phone: (859) 275-4878
- Organization
- Anesthesiology
- Pain Medicine
- CLIA Number: 18D2019949
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-31-2026
About WELLWARD
This page provides the complete NPI Profile along with additional information for Wellward, a provider established in Corbin, Kentucky operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1720110182 assigned on March 2007. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 4 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 organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Wellward. The authorized official of this NPI record is Dr. Danesh Mazloomdoost Md (Medical Director)
- NPI
- 1720110182
- Provider Legal Name
- MANOOCHEHR MAZLOOMDOOST P S C
- Other Organization Name
- WELLWARD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1100 CUMBERLAND FALLS HWY CORBIN, KY 40701
- Location Phone
- (859) 275-4878
- Mailing Address
- 101 N EAGLE CREEK DR LEXINGTON, KY 40509
- Mailing Phone
- (859) 275-4878
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-12-2007
- Last Update Date
- 08-17-2022
- 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
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 174400000X | Other Service Providers | Specialist | 17083 (KY) |
| 3 | 2084P2900X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 4 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193400000X 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.
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
- 18D2019949
- Facility Type
- Physician Office
- Certificate Effective Date
- May 22, 2024
- Certificate Expiration Date
- May 31, 2026
- Laboratory Director
- MR. GRANT A. BENNETT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Wellward after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1720110182, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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 48 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720110182, enumerated as an "organization" on March 12, 2007.
The provider is located at 1100 CUMBERLAND FALLS HWY CORBIN, KY 40701 and the phone number is (859) 275-4878.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
