SEA BASE MEDICINE
NPI 1790492734
Internal Medicine in Grapevine, TX
NPI Status: Active since October 31, 2022
Contact Information
1631 LANCASTER DR STE 330
GRAPEVINE, TX
ZIP 76051
Phone: (972) 792-5700
- Organization
- Internal Medicine
- CLIA Number: 45D2275411
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-19-2027
About SEA BASE MEDICINE
This page provides the complete NPI Profile along with additional information for Sea Base Medicine, an internist established in Grapevine, Texas operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1790492734 assigned on October 2022. 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. 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 Sea Base Medicine. The authorized official of this NPI record is John Kevin Page Md (Owner)
- NPI
- 1790492734
- Provider Legal Name
- JOHN KEVIN PAGE, MD PLLC
- Other Organization Name
- SEA BASE MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1631 LANCASTER DR STE 330 GRAPEVINE, TX 76051
- Location Phone
- (972) 792-5700
- Mailing Address
- 9330 LBJ FWY STE 800 DALLAS, TX 75243
- Mailing Phone
- (972) 792-5700
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2022
- Last Update Date
- 03-20-2024
- Code Navigator
An internist like Sea Base Medicine 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.
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.
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
- 45D2275411
- Facility Type
- Physician Office
- Certificate Effective Date
- January 20, 2025
- Certificate Expiration Date
- January 19, 2027
- Laboratory Director
- JOHN K. PAGE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sea Base Medicine 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 | 9 | 0 | 4 | 9 | 2 | 7 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 8 | 9 | 4 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 8 + 9 + 4 + 7 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1790492734 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
REEMA PATEL PA
Physician Assistant
1631 LANCASTER DR STE 330
GRAPEVINE, TX
ZIP 76051
JOHN KEVIN PAGE MD
Internal Medicine
1631 LANCASTER DR STE 330
GRAPEVINE, TX
ZIP 76051
ERICA HERNANDEZ PA-C
Physician Assistant
1631 LANCASTER DR STE 330
GRAPEVINE, TX
ZIP 76051
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790492734, enumerated as an "organization" on October 31, 2022.
The provider is located at 1631 LANCASTER DR STE 330 GRAPEVINE, TX 76051 and the phone number is (972) 792-5700.
Internal Medicine with taxonomy code 207R00000X.
