LAUREL PEDIATRIC CLINIC
NPI 1821342379
Pediatrics - Adolescent Medicine in Laurel, MS

NPI Status: Active since November 06, 2012

Contact Information

234 S 12TH AVE
LAUREL, MS
ZIP 39440
Phone: (601) 649-3520
Fax: (601) 649-7899

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  • Organization
  • Pediatrics
  • Adolescent Medicine

About LAUREL PEDIATRIC CLINIC

This page provides the complete NPI Profile along with additional information for Laurel Pediatric Clinic, a pediatrician established in Laurel, Mississippi operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1821342379 assigned on November 2012. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 14 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 provider's is doing business as Laurel Pediatric Clinic. The authorized official of this NPI record is Mr. James T Canizaro (Vice President/ C.f.o.)

NPI
1821342379
Provider Legal Name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other Organization Name
LAUREL PEDIATRIC CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
234 S 12TH AVE LAUREL, MS 39440
Location Phone
(601) 649-3520
Location Fax
(601) 649-7899
Mailing Address
PO BOX 1649 LAUREL, MS 39441
Mailing Phone
(601) 425-7583
Mailing Fax
(601) 649-7899
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2012
Last Update Date
11-06-2012
Code Navigator

A pediatrician like Laurel Pediatric Clinic 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 Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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

MR. JAMES T CANIZARO

Authorized Official Title
VICE PRESIDENT/ C.F.O.
Authorized Official Phone
(601) 399-6139

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
08705378MEDICAID (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 1821342379, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 2 → 4 3 → 6 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 6 + 4 + 4 + 3 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1821342379.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
234 S 12TH AVE
LAUREL, MS 39440
Family Medicine (Sleep Medicine)
234 S 12TH AVE
LAUREL, MS 39440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821342379, enumerated as an "organization" on November 06, 2012.

The provider is located at 234 S 12TH AVE LAUREL, MS 39440 and the phone number is (601) 649-3520.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

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