OTSEGO FAMILY MEDICAL PRACTICE, PLLC
NPI 1801920533
Nurse Practitioner - Family in Gobles, MI

NPI Status: Active since March 15, 2007

Contact Information

34471 NORTH DR
GOBLES, MI
ZIP 49055
Phone: (269) 628-2789

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  • Organization
  • Nurse Practitioner
  • Family

About OTSEGO FAMILY MEDICAL PRACTICE, PLLC

This page provides the complete NPI Profile along with additional information for Otsego Family Medical Practice, Pllc, a provider established in Gobles, Michigan operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1801920533 assigned on March 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 4704142595 (MI). 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 authorized official of this NPI record is Mr. Fred D Boothby Cnp (Owner)

NPI
1801920533
Provider Name
OTSEGO FAMILY MEDICAL PRACTICE, PLLC
Entity Type
Organization
Location Address
34471 NORTH DR GOBLES, MI 49055
Location Phone
(269) 628-2789
Mailing Address
34471 NORTH DR GOBLES, MI 49055
Mailing Phone
(269) 628-2789
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2007
Last Update Date
08-22-2020
Code Navigator

A nurse practitioner (NP) like Otsego Family Medical Practice, Pllc 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.

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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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704142595
License State
MI

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

MR. FRED D BOOTHBY CNP

Authorized Official Title
OWNER
Authorized Official Phone
(269) 628-4997

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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 1801920533, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 8 + 2 + 0 + 5 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1801920533.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801920533, enumerated as an "organization" on March 15, 2007.

The provider is located at 34471 NORTH DR GOBLES, MI 49055 and the phone number is (269) 628-2789.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.