ELLIS MEDICAL CENTER, LLC
NPI 1740424969
Clinic/Center - Occupational Medicine in Bloomfield, CT

NPI Status: Active since May 01, 2009

Contact Information

701 COTTAGE GROVE RD
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 243-1864

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  • Organization
  • Clinic/Center
  • Occupational Medicine

About ELLIS MEDICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Ellis Medical Center, Llc, a provider established in Bloomfield, Connecticut operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1740424969 assigned on May 2009. The practitioner's primary taxonomy code is 261QX0100X with license number 041803 (CT). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Lenworth Ellis M.d. (Managing Member)

NPI
1740424969
Provider Name
ELLIS MEDICAL CENTER, LLC
Entity Type
Organization
Location Address
701 COTTAGE GROVE RD BLOOMFIELD, CT 06002
Location Phone
(860) 243-1864
Mailing Address
701 COTTAGE GROVE RD BLOOMFIELD, CT 06002
Mailing Phone
(860) 243-1864
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2009
Last Update Date
05-01-2009
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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

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities
License No.
041803
License State
CT

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. LENWORTH ELLIS M.D.

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(860) 243-1864

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
I01435MEDICARE UPIN (02) 

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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 1740424969, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 8 + 2 + 8 + 9 + 1 + 2 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1740424969.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Rheumatology)
701 COTTAGE GROVE RD, STE C230
BLOOMFIELD, CT 06002
Internal Medicine
701 COTTAGE GROVE RD, SUITE E210
BLOOMFIELD, CT 06002
Otolaryngology
701 COTTAGE GROVE RD, A-230
BLOOMFIELD, CT 06002
Speech-Language Pathologist
701 COTTAGE GROVE RD, SUITE E130
BLOOMFIELD, CT 06002
Speech-Language Pathologist
701 COTTAGE GROVE RD, SUITE E130
BLOOMFIELD, CT 06002
Physical Therapist
701 COTTAGE GROVE RD, SUITE E130
BLOOMFIELD, CT 06002
Physical Therapist
701 COTTAGE GROVE RD, SUITE F120
BLOOMFIELD, CT 06002
Ophthalmology
701 COTTAGE GROVE RD, B210
BLOOMFIELD, CT 06002
Dentist (General Practice)
701 COTTAGE GROVE RD, SUITE A 220
BLOOMFIELD, CT 06002
Clinic/Center (Primary Care)
701 COTTAGE GROVE RD, SUITE A110
BLOOMFIELD, CT 06002
Internal Medicine
701 COTTAGE GROVE RD, SUITE E210
BLOOMFIELD, CT 06002
Internal Medicine (Rheumatology)
701 COTTAGE GROVE RD, SUITE C-230
BLOOMFIELD, CT 06002
Internal Medicine (Nephrology)
701 COTTAGE GROVE RD, SUITE B-220
BLOOMFIELD, CT 06002
Dentist (Periodontics)
701 COTTAGE GROVE RD, SUITE F210
BLOOMFIELD, CT 06002
Specialist
701 COTTAGE GROVE RD, STE. E230
BLOOMFIELD, CT 06002
Internal Medicine
701 COTTAGE GROVE RD, BUILDING C SUITE 130
BLOOMFIELD, CT 06002
Dentist (Oral and Maxillofacial Surgery)
701 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Clinic/Center (Primary Care)
701 COTTAGE GROVE RD, STE A210
BLOOMFIELD, CT 06002
Internal Medicine (Nephrology)
701 COTTAGE GROVE RD, SUITE B220
BLOOMFIELD, CT 06002
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
701 COTTAGE GROVE RD, STE F120
BLOOMFIELD, CT 06002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740424969, enumerated as an "organization" on May 01, 2009.

The provider is located at 701 COTTAGE GROVE RD BLOOMFIELD, CT 06002 and the phone number is (860) 243-1864.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.

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