ANDREA C LIGHTBOURN MD PLLC
NPI 1720255987
Specialist in Southfield, MI

NPI Status: Active since May 15, 2008

Contact Information

29600 NORTHWESTERN HWY
104
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 809-3530
Fax: (248) 327-6082

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  • Organization
  • Specialist

About ANDREA C LIGHTBOURN MD PLLC

This page provides the complete NPI Profile along with additional information for Andrea C Lightbourn Md Pllc, a provider established in Southfield, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1720255987 assigned on May 2008. The practitioner's primary taxonomy code is 174400000X with license number 4301048299 (MI). The provider is registered as an organization and their NPI record was last updated 12 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 Andrea C Lightbourn Md (Owner)

NPI
1720255987
Provider Name
ANDREA C LIGHTBOURN MD PLLC
Entity Type
Organization
Location Address
29600 NORTHWESTERN HWY 104 SOUTHFIELD, MI 48034
Location Phone
(248) 809-3530
Location Fax
(248) 327-6082
Mailing Address
29600 NORTHWESTERN HWY 104 SOUTHFIELD, MI 48034
Mailing Phone
(248) 809-3530
Mailing Fax
(248) 327-6082
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2008
Last Update Date
02-06-2014
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
4301048299
License State
MI
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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

ANDREA C LIGHTBOURN MD

Authorized Official Title
OWNER
Authorized Official Phone
(248) 809-3530

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
4408457MEDICAID (05)MI 
0N44020MEDICARE PIN (08) 

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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 1720255987, 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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 2 → 4 2 → 4 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 4 + 5 + 1 + 0 + 9 + 1 + 6 + 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 1720255987.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
29600 NORTHWESTERN HWY, 104
SOUTHFIELD, MI 48034
Counselor (Mental Health)
29600 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Social Worker (Clinical)
29600 NORTHWESTERN HWY, #115
SOUTHFIELD, MI 48034
Social Worker (Clinical)
29600 NORTHWESTERN HWY, SUITE #100A
SOUTHFIELD, MI 48034
Clinic/Center (Medical Specialty)
29600 NORTHWESTERN HWY, SUITE 106
SOUTHFIELD, MI 48034
Social Worker (Clinical)
29600 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 48034
Urology
29600 NORTHWESTERN HWY, SUITE 104
SOUTHFIELD, MI 48034
Counselor
29600 NORTHWESTERN HWY, STE 100
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Psychiatry)
29600 NORTHWESTERN HWY, 100B
SOUTHFIELD, MI 48034
Home Health
29600 NORTHWESTERN HWY, SUITE 104
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Psychiatry)
29600 NORTHWESTERN HWY, 100
SOUTHFIELD, MI 48034
Nurse Practitioner (Psychiatric/Mental Health)
29600 NORTHWESTERN HWY
SOUTHFIELD, MI 48034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720255987, enumerated as an "organization" on May 15, 2008.

The provider is located at 29600 NORTHWESTERN HWY 104 SOUTHFIELD, MI 48034 and the phone number is (248) 809-3530.

Specialist with taxonomy code 174400000X.

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