EPHRAIM MCDOWELL STANFORD MEDICAL OFFICES
NPI 1750790069
Specialist in Stanford, KY
NPI Status: Active since August 12, 2014
Contact Information
125 PORTMAN AVE
STANFORD, KY
ZIP 40484
Phone: (606) 365-3378
Fax: (606) 365-3381
- Organization
- Specialist
- CLIA Number: 18D2242881
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 11-14-2025
About EPHRAIM MCDOWELL STANFORD MEDICAL OFFICES
This page provides the complete NPI Profile along with additional information for Ephraim Mcdowell Stanford Medical Offices, a provider established in Stanford, Kentucky operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1750790069 assigned on August 2014. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Ephraim Mcdowell Stanford Medical Offices. The authorized official of this NPI record is Mr. Daniel Mckay Iii (Ceo)
- NPI
- 1750790069
- Provider Legal Name
- EPHRAIM MCDOWELL HEALTH RESOURCE, INC
- Other Organization Name
- EPHRAIM MCDOWELL STANFORD MEDICAL OFFICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 125 PORTMAN AVE STANFORD, KY 40484
- Location Phone
- (606) 365-3378
- Location Fax
- (606) 365-3381
- Mailing Address
- 125 PORTMAN AVE STANFORD, KY 40484
- Mailing Phone
- (606) 365-3378
- Mailing Fax
- (606) 365-3381
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2014
- Last Update Date
- 09-10-2021
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- 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.
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 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
3 | 363LX0001X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X MULTIPLE 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
- 18D2242881
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- November 15, 2023
- Certificate Expiration Date
- November 14, 2025
- Laboratory Director
- MS. VIRGINIA G. SMOTHERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ephraim Mcdowell Stanford Medical Offices to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 7 | 9 | 0 | 0 | 6 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 14 | 9 | 0 | 0 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 1 + 4 + 9 + 0 + 0 + 1 + 2 + 24 = 51 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 51 = 9 | 9 |
The NPI number 1750790069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
BRITTANY M HAGER APRN FNP-BC
Nurse Practitioner
(Family)
125 PORTMAN AVE
STANFORD, KY
ZIP 40484
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750790069, enumerated as an "organization" on August 12, 2014.
The provider is located at 125 PORTMAN AVE STANFORD, KY 40484 and the phone number is (606) 365-3378.
Specialist with taxonomy code 174400000X.