IBEW LOCAL 38
NPI 1790318772
Nurse Practitioner in Beachwood, OH

NPI Status: Active since February 18, 2020

Contact Information

3609 PARK EAST DR STE 210
BEACHWOOD, OH
ZIP 44122
Phone: (216) 245-5680

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 36D2161603
  • CLIA Cert. Type: Other - ONSITE HEALTH CENTER
  • CLIA Exp. Date: 02-05-2027

About IBEW LOCAL 38

This page provides the complete NPI Profile along with additional information for Ibew Local 38, a provider established in Beachwood, Ohio operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1790318772 assigned on February 2020. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 6 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 provider's other name is Ibew Local 38. The authorized official of this NPI record is Jerry Ford (Ceo)

NPI
1790318772
Provider Legal Name
MARATHON HEALTH LLC
Other Organization Name
IBEW LOCAL 38
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3609 PARK EAST DR STE 210 BEACHWOOD, OH 44122
Location Phone
(216) 245-5680
Mailing Address
PO BOX 5 WINOOSKI, VT 05404
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-18-2020
Last Update Date
02-19-2020
Code Navigator

A nurse practitioner (NP) like Ibew Local 38 is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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.

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

JERRY FORD

Authorized Official Title
CEO
Authorized Official Phone
(802) 857-0400

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
36D2161603
Facility Type
Other - ONSITE HEALTH CENTER
Certificate Effective Date
February 06, 2025
Certificate Expiration Date
February 05, 2027
Laboratory Director
NORA GRABOWSKI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ibew Local 38 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 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 1790318772, 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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 3 → 6 8 → 16 → 7 7 → 14 → 5

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 + 6 + 1 + 1 + 6 + 7 + 1 + 4 + 24 = 68

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.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1790318772.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
3609 PARK EAST DR STE 210
BEACHWOOD, OH 44122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790318772, enumerated as an "organization" on February 18, 2020.

The provider is located at 3609 PARK EAST DR STE 210 BEACHWOOD, OH 44122 and the phone number is (216) 245-5680.

Nurse Practitioner with taxonomy code 363L00000X.