PIEDMONT CAROLINA VASCULAR SURGERY, LLC
NPI 1790029015
Surgery - Vascular Surgery in Rock Hill, SC

NPI Status: Active since November 27, 2012

Contact Information

1721 EBENEZER RD
SUITE 115
ROCK HILL, SC
ZIP 29732
Phone: (803) 985-4000
Fax: (803) 985-4006

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  • Organization
  • Surgery
  • Vascular Surgery

About PIEDMONT CAROLINA VASCULAR SURGERY, LLC

This page provides the complete NPI Profile along with additional information for Piedmont Carolina Vascular Surgery, Llc, a provider established in Rock Hill, South Carolina operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1790029015 assigned on November 2012. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 10 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 Mr. Michael K Burtnett (Vp Of Outpatient Services, Tenet)

NPI
1790029015
Provider Name
PIEDMONT CAROLINA VASCULAR SURGERY, LLC
Entity Type
Organization
Location Address
1721 EBENEZER RD SUITE 115 ROCK HILL, SC 29732
Location Phone
(803) 985-4000
Location Fax
(803) 985-4006
Mailing Address
1721 EBENEZER RD SUITE 115 ROCK HILL, SC 29732
Mailing Phone
(803) 985-4000
Mailing Fax
(803) 985-4006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2012
Last Update Date
06-16-2016
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193400000X 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.

*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

MR. MICHAEL K BURTNETT

Authorized Official Title
VP OF OUTPATIENT SERVICES, TENET
Authorized Official Phone
(469) 893-2902

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
C177MEDICARE PIN (08) 

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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 1790029015, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 9 → 18 → 9 0 → 0 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 0 + 2 + 1 + 8 + 0 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1790029015.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Marriage & Family Therapist
1721 EBENEZER RD, SUITE 215
ROCK HILL, SC 29732
Surgery
1721 EBENEZER RD, SUITE 175
ROCK HILL, SC 29732
Clinic/Center (Hearing and Speech)
1721 EBENEZER RD, SUITE 225
ROCK HILL, SC 29732
Obstetrics & Gynecology
1721 EBENEZER RD, SUITE 145
ROCK HILL, SC 29732
Obstetrics & Gynecology
1721 EBENEZER RD, SUITE 145
ROCK HILL, SC 29732
Obstetrics & Gynecology
1721 EBENEZER RD, SUITE 145
ROCK HILL, SC 29732
Specialist
1721 EBENEZER RD, SUITE 205
ROCK HILL, SC 29732
Dietitian, Registered
1721 EBENEZER RD, SUITE 145
ROCK HILL, SC 29732
Audiologist
1721 EBENEZER RD, SUITE 225
ROCK HILL, SC 29732
Social Worker (Clinical)
1721 EBENEZER RD, SUITE 265
ROCK HILL, SC 29732
Social Worker (Clinical)
1721 EBENEZER RD, SUITE 215
ROCK HILL, SC 29732
Marriage & Family Therapist
1721 EBENEZER RD, SUITE 215
ROCK HILL, SC 29732
Durable Medical Equipment & Medical Supplies
1721 EBENEZER RD, SUITE 290
ROCK HILL, SC 29732
Speech-Language Pathologist
1721 EBENEZER RD, SUITE 225
ROCK HILL, SC 29732
Speech-Language Pathologist
1721 EBENEZER RD, SUITE 225
ROCK HILL, SC 29732
Counselor (Professional)
1721 EBENEZER RD, SUITE 265
ROCK HILL, SC 29732
Dentist (General Practice)
1721 EBENEZER RD, SUITE 135
ROCK HILL, SC 29732
Marriage & Family Therapist
1721 EBENEZER RD, SUITE 215
ROCK HILL, SC 29732
Dentist (General Practice)
1721 EBENEZER RD, SUITE 135
ROCK HILL, SC 29732
Surgery (Vascular Surgery)
1721 EBENEZER RD, SUITE 115
ROCK HILL, SC 29732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790029015, enumerated as an "organization" on November 27, 2012.

The provider is located at 1721 EBENEZER RD SUITE 115 ROCK HILL, SC 29732 and the phone number is (803) 985-4000.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

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