ADVANCED HEALTH SYSTEMS OF AMERICA, PC
NPI 1790880391
Specialist in Lawton, OK

NPI Status: Active since September 14, 2006

Contact Information

3805 W GORE BLVD
LAWTON, OK
ZIP 73505
Phone: (580) 581-1994
Fax: (580) 581-1285

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  • Organization
  • Specialist
  • CLIA Number: 37D2176814
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 12-25-2025

About ADVANCED HEALTH SYSTEMS OF AMERICA, PC

This page provides the complete NPI Profile along with additional information for Advanced Health Systems Of America, Pc, a provider established in Lawton, Oklahoma operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1790880391 assigned on September 2006. The practitioner's primary taxonomy code is 174400000X with license number 21147 OK (OK). The provider is registered as an organization and their NPI record was last updated 18 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 Dr. Henry-norbert O. Ndekwe Md (Medical Director)

NPI
1790880391
Provider Name
ADVANCED HEALTH SYSTEMS OF AMERICA, PC
Entity Type
Organization
Location Address
3805 W GORE BLVD LAWTON, OK 73505
Location Phone
(580) 581-1994
Location Fax
(580) 581-1285
Mailing Address
3805 W GORE BLVD LAWTON, OK 73505
Mailing Phone
(580) 581-1994
Mailing Fax
(580) 581-1285
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2006
Last Update Date
08-28-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
21147 OK
License State
OK
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

DR. HENRY-NORBERT O. NDEKWE MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(580) 581-1994

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
G99918MEDICARE UPIN (02)OK 
100748650AMEDICAID (05)OK 
305866273MMEDICARE PIN (08)OK 

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
37D2176814
Facility Type
Practitioner Other
Certificate Effective Date
December 26, 2023
Certificate Expiration Date
December 25, 2025
Laboratory Director
J DEAN NOLAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advanced Health Systems Of America, Pc 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 1790880391, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 8 → 16 → 7 0 → 0 9 → 18 → 9

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 + 1 + 6 + 8 + 0 + 3 + 1 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1790880391.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Specialist
3805 W GORE BLVD
LAWTON, OK 73505
Specialist
3805 W GORE BLVD
LAWTON, OK 73505
Surgery
3805 W GORE BLVD, SUITE 4
LAWTON, OK 73505
Counselor (Addiction (Substance Use Disorder))
3805 W GORE BLVD
LAWTON, OK 73505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790880391, enumerated as an "organization" on September 14, 2006.

The provider is located at 3805 W GORE BLVD LAWTON, OK 73505 and the phone number is (580) 581-1994.

Specialist with taxonomy code 174400000X.

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