CHILDREN'S MEDICAL CENTER
NPI 1790974111
Pediatrics in Gulfport, MS

NPI Status: Active since October 22, 2007

Contact Information

15465 OAK LN
SUITE 100 F
GULFPORT, MS
ZIP 39503
Phone: (228) 832-0414
Fax: (228) 832-8227

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  • Organization
  • Pediatrics

About CHILDREN'S MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Children's Medical Center, a pediatrician established in Gulfport, Mississippi operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1790974111 assigned on October 2007. The practitioner's primary taxonomy code is 208000000X with license number 14692 (MS). 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 Ms. Fauzia F. Quddus M.d. (President)

NPI
1790974111
Provider Name
CHILDREN'S MEDICAL CENTER
Entity Type
Organization
Location Address
15465 OAK LN SUITE 100 F GULFPORT, MS 39503
Location Phone
(228) 832-0414
Location Fax
(228) 832-8227
Mailing Address
15465 OAK LN SUITE 100 F GULFPORT, MS 39503
Mailing Phone
(228) 832-0414
Mailing Fax
(228) 832-8227
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2007
Last Update Date
06-13-2008
Code Navigator

A pediatrician like Children's Medical Center is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
14692
License State
MS
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

MS. FAUZIA F. QUDDUS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(228) 832-0414

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
09014469MEDICAID (05)MS 

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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 1790974111, 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
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
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 9 → 18 → 9 4 → 8 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 + 1 + 8 + 7 + 8 + 1 + 2 + 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 1790974111.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Psychologist (Clinical)
15465 OAK LN
GULFPORT, MS 39503
Pediatrics
15465 OAK LN, SUITE 100-F
GULFPORT, MS 39503
Chiropractor
15465 OAK LN, SUITE 100B
GULFPORT, MS 39503
Chiropractor
15465 OAK LN, SUITE 100B
GULFPORT, MS 39503
Psychologist (Clinical)
15465 OAK LN, STE. D.
GULFPORT, MS 39503
Social Worker (Clinical)
15465 OAK LN, STE. D
GULFPORT, MS 39503
Clinic/Center (Primary Care)
15465 OAK LN
GULFPORT, MS 39503
Dentist (Orthodontics and Dentofacial Orthopedics)
15465 OAK LN
GULFPORT, MS 39503
Pediatrics
15465 OAK LN, SUITE 100-F
GULFPORT, MS 39503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790974111, enumerated as an "organization" on October 22, 2007.

The provider is located at 15465 OAK LN SUITE 100 F GULFPORT, MS 39503 and the phone number is (228) 832-0414.

Pediatrics with taxonomy code 208000000X.

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