DR. GLENN KOONTZ BLACKBURN JR. M.D.
NPI 1750351037
Pediatrics - Adolescent Medicine in Somerset, KY
NPI Status: Active since January 26, 2006
Contact Information
CHILDREN'S CLINIC
350 LANGDON ST.
SOMERSET, KY
ZIP 42503
Phone: (606) 678-8155
Fax: (606) 678-7548
- Individual
- Male
- Pediatrics
- Adolescent Medicine
About GLENN BLACKBURN
This page provides the complete NPI Profile along with additional information for Glenn Blackburn, a pediatrician established in Somerset, Kentucky with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1750351037 assigned on January 2006. The practitioner's primary taxonomy code is 2080A0000X with license number 16207 (KY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1750351037
- Provider Name
- DR. GLENN KOONTZ BLACKBURN JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- CHILDREN'S CLINIC 350 LANGDON ST. SOMERSET, KY 42503
- Location Phone
- (606) 678-8155
- Location Fax
- (606) 678-7548
- Mailing Address
- CHILDREN'S CLINIC 350 LANGDON ST. SOMERSET, KY 42503
- Mailing Phone
- (606) 678-8155
- Mailing Fax
- (606) 678-7548
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-26-2006
- Last Update Date
- 07-09-2007
- Code Navigator
A pediatrician like Glenn Blackburn is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 16207
- License State
- KY
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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.
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 |
|---|---|---|---|
| D08101 | MEDICARE UPIN (02) | KY | |
| 64162076 | MEDICAID (05) | KY |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 5 | 1 | 0 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 5 | 2 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 5 + 2 + 0 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1750351037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750351037, enumerated as an "individual" on January 26, 2006.
The provider is located at CHILDREN'S CLINIC 350 LANGDON ST. SOMERSET, KY 42503 and the phone number is (606) 678-8155.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
