PETERSBURG DERMATOLOGY, PC
NPI 1740435650
Clinic/Center - Medical Specialty in Petersburg, VA

NPI Status: Active since November 19, 2008

Contact Information

3277 S CRATER RD
PETERSBURG, VA
ZIP 23805
Phone: (804) 861-5555
Fax: (804) 861-5500

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  • Organization
  • Clinic/Center
  • Medical Specialty

About PETERSBURG DERMATOLOGY, PC

This page provides the complete NPI Profile along with additional information for Petersburg Dermatology, Pc, a provider established in Petersburg, Virginia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1740435650 assigned on November 2008. The practitioner's primary taxonomy code is 261QM2500X with license number 0101052210 (VA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Erick Jean Freihofer Md (President)

NPI
1740435650
Provider Name
PETERSBURG DERMATOLOGY, PC
Entity Type
Organization
Location Address
3277 S CRATER RD PETERSBURG, VA 23805
Location Phone
(804) 861-5555
Location Fax
(804) 861-5500
Mailing Address
3277 S CRATER RD PETERSBURG, VA 23805
Mailing Phone
(804) 861-5555
Mailing Fax
(804) 861-5500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2008
Last Update Date
11-19-2008
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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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
0101052210
License State
VA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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. ERICK JEAN FREIHOFER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(804) 861-5555

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
005900972MEDICAID (05)VA 
G11418MEDICARE UPIN (02) 
070000260MEDICARE PIN (08)VA 

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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 1740435650, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
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 5 → 10 → 1 5 → 10 → 1

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 + 3 + 1 + 0 + 6 + 1 + 0 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1740435650.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Dental)
3277 S CRATER RD
PETERSBURG, VA 23805
Dentist (General Practice)
3277 S CRATER RD
PETERSBURG, VA 23805
Dentist
3277 S CRATER RD
PETERSBURG, VA 23805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740435650, enumerated as an "organization" on November 19, 2008.

The provider is located at 3277 S CRATER RD PETERSBURG, VA 23805 and the phone number is (804) 861-5555.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

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