NORTHRIDGE FAMILY PRACTICE LLC
NPI 1780803932
Internal Medicine - Clinical Cardiac Electrophysiology in Hale, MI
NPI Status: Active since April 25, 2007
Contact Information
3190 NORTHRIDGE DRIVE
HALE, MI
ZIP 48739
Phone: (989) 728-6000
Fax: (989) 728-6003
- Organization
- Internal Medicine
- Clinical Cardiac Electrophysiology
About NORTHRIDGE FAMILY PRACTICE LLC
This page provides the complete NPI Profile along with additional information for Northridge Family Practice Llc, an internist established in Hale, Michigan operating as a Internal Medicine, focusing in clinical cardiac electrophysiology . The healthcare provider is registered in the NPI registry with number 1780803932 assigned on April 2007. The practitioner's primary taxonomy code is 207RC0001X with license number 5101011670 (MI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Debra Provoast Np (Owner)
- NPI
- 1780803932
- Provider Name
- NORTHRIDGE FAMILY PRACTICE LLC
- Entity Type
- Organization
- Location Address
- 3190 NORTHRIDGE DRIVE HALE, MI 48739
- Location Phone
- (989) 728-6000
- Location Fax
- (989) 728-6003
- Mailing Address
- PO BOX 279 HALE, MI 48739
- Mailing Phone
- (198) 972-8600
- Mailing Fax
- (989) 728-6003
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-25-2007
- Last Update Date
- 01-13-2009
- Code Navigator
An internist like Northridge Family Practice Llc 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 Clinical Cardiac Electrophysiology
- Taxonomy Code
- 207RC0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101011670
- License State
- MI
- Taxonomy Description
- A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 4301061417 (MI) |
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.
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.
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 |
|---|---|---|---|
| 080C510310 | OTHER (01) | MI | BCBS GROUP |
| DL074550 | OTHER (01) | MI | DANIEL LEE |
| MA061417 | OTHER (01) | MI | MOHAMED ALI |
| H22803 | MEDICARE UPIN (02) | MI | |
| 0P24490004 | MEDICARE PIN (08) | MI | |
| ========= | OTHER (01) | MI | TAX ID |
| G34770 | MEDICARE UPIN (02) | MI | |
| 114811801 | MEDICAID (05) | MI | |
| G12604 | MEDICARE UPIN (02) | MI | |
| 0P24490 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | GROUP |
| 104289418 | MEDICAID (05) | MI |
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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 1780803932, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780803932, enumerated as an "organization" on April 25, 2007.
The provider is located at 3190 NORTHRIDGE DRIVE HALE, MI 48739 and the phone number is (989) 728-6000.
Internal Medicine with taxonomy code 207RC0001X and a focus in Clinical Cardiac Electrophysiology.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
