CENTERWELL SENIOR PRIMARY CARE-RICHMOND ROAD
NPI 1790492783
Internal Medicine in Lexington, KY

NPI Status: Active since October 31, 2022

Contact Information

3101 RICHMOND RD STE 190
LEXINGTON, KY
ZIP 40509
Phone: (859) 309-7613
Fax: (877) 722-0592

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  • Organization
  • Internal Medicine
  • CLIA Number: 18D2278841
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-23-2027

About CENTERWELL SENIOR PRIMARY CARE-RICHMOND ROAD

This page provides the complete NPI Profile along with additional information for Centerwell Senior Primary Care-richmond Road, an internist established in Lexington, Kentucky operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1790492783 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. Centerwell Senior Primary Care-richmond Road 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-richmond Road. The authorized official of this NPI record is Angie Martinez (Senior Credentialing Professional)

NPI
1790492783
Provider Legal Name
CENTERWELL SENIOR PRIMARY CARE KY PSC
Other Organization Name
CENTERWELL SENIOR PRIMARY CARE-RICHMOND ROAD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3101 RICHMOND RD STE 190 LEXINGTON, KY 40509
Location Phone
(859) 309-7613
Location Fax
(877) 722-0592
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
10-31-2022
Last Update Date
08-22-2024
Code Navigator

An internist like Centerwell Senior Primary Care-richmond Road 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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2208D00000XAllopathic & 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

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
18D2278841
Facility Type
Physician Office
Certificate Effective Date
March 24, 2025
Certificate Expiration Date
March 23, 2027
Laboratory Director
DR. ERICA SAVAGE-JETER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centerwell Senior Primary Care-richmond Road 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.
1790492783
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180894716
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 + 1 + 6 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1790492783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

ELEIDA TUR OLIVA MD

Family Medicine

3101 RICHMOND RD STE 190
LEXINGTON, KY
ZIP 40509

(859) 309-7613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790492783, enumerated as an "organization" on October 31, 2022.

The provider is located at 3101 RICHMOND RD STE 190 LEXINGTON, KY 40509 and the phone number is (859) 309-7613.

Internal Medicine with taxonomy code 207R00000X.