CENTERWELL SENIOR PRIMARY CARE- EASTSIDE
NPI 1780455527
Internal Medicine in Frankfort, KY

NPI Status: Active since January 10, 2024

Contact Information

601 VERSAILLES RD
FRANKFORT, KY
ZIP 40601
Phone: (502) 695-3946

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Internal Medicine

About CENTERWELL SENIOR PRIMARY CARE- EASTSIDE

This page provides the complete NPI Profile along with additional information for Centerwell Senior Primary Care- Eastside, an internist established in Frankfort, Kentucky operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1780455527 assigned on January 2024. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Centerwell Senior Primary Care- Eastside operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Centerwell Senior Primary Care- Eastside. The authorized official of this NPI record is Angie Martinez (Senior Credentialing Professional)

NPI: 1780455527
Provider Legal Name: CENTERWELL SENIOR PRIMARY CARE (KY) PSC
Other Organization Name: CENTERWELL SENIOR PRIMARY CARE- EASTSIDE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 601 VERSAILLES RD FRANKFORT, KY 40601
Location Phone: (502) 695-3946
Mailing Address: 6101 BLUE LAGOON DR STE 200 MIAMI, FL 33126
Mailing Phone: (305) 500-2000
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 01-10-2024
Last Update Date: 08-22-2024
Code Navigator

An internist like Centerwell Senior Primary Care- Eastside is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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: Internal Medicine
Taxonomy Code: 207R00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine
2	208D00000X	Allopathic & Osteopathic Physicians	General Practice

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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: ANGIE MARTINEZ
Authorized Official Title: SENIOR CREDENTIALING PROFESSIONAL
Authorized Official Phone: (407) 447-7120

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	8	0	4	5	5	5	2	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	16	0	8	5	10	5	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 5 + 1 + 0 + 5 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1780455527 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.