PRIMEHEALTH INTERNAL MEDICINE MENTOR
NPI 1861420804
Internal Medicine in Mentor, OH

NPI Status: Active since June 29, 2006

Contact Information

9485 MENTOR AVE
#210
MENTOR, OH
ZIP 44060
Phone: (440) 205-5745
Fax: (440) 205-5735

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  • Organization
  • Internal Medicine

About PRIMEHEALTH INTERNAL MEDICINE MENTOR

This page provides the complete NPI Profile along with additional information for Primehealth Internal Medicine Mentor, an internist established in Mentor, Ohio operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1861420804 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 19 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 Primehealth Internal Medicine Mentor. The authorized official of this NPI record is Mr. Robert Tracz (Chief Financial Officer)

NPI
1861420804
Provider Legal Name
LAKE HOSPITAL SYSTEM, INC.
Other Organization Name
PRIMEHEALTH INTERNAL MEDICINE MENTOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9485 MENTOR AVE #210 MENTOR, OH 44060
Location Phone
(440) 205-5745
Location Fax
(440) 205-5735
Mailing Address
PO BOX 714328 COLUMBUS, OH 43271
Mailing Phone
(800) 354-1985
Mailing Fax
(440) 205-5735
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-29-2006
Last Update Date
09-06-2007
Code Navigator

An internist like Primehealth Internal Medicine Mentor 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.

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. ROBERT TRACZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(440) 354-1051

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
2183499MEDICAID (05)OH 
LA9368241MEDICARE PIN (08)OH 

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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 1861420804, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 6 → 12 → 3 4 → 8 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 8 + 2 + 0 + 8 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1861420804.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
9485 MENTOR AVE, STE 200
MENTOR, OH 44060
Ophthalmology
9485 MENTOR AVE, STE 110
MENTOR, OH 44060
Physical Medicine & Rehabilitation (Pain Medicine)
9485 MENTOR AVE, STE 115, OAKTREE CLINIC
MENTOR, OH 44060
Dentist (General Practice)
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Pediatrics
9485 MENTOR AVE, 101
MENTOR, OH 44060
Audiologist
9485 MENTOR AVE
MENTOR, OH 44060
Clinical Nurse Specialist
9485 MENTOR AVE, SUITE #3
MENTOR, OH 44060
Internal Medicine
9485 MENTOR AVE, SUITE 203
MENTOR, OH 44060
Pharmacist (Oncology)
9485 MENTOR AVE, SUITE #3
MENTOR, OH 44060
Audiologist-Hearing Aid Fitter
9485 MENTOR AVE, 200
MENTOR, OH 44060
Dentist (General Practice)
9485 MENTOR AVE, SUITE #112
MENTOR, OH 44060
Obstetrics & Gynecology
9485 MENTOR AVE, SUITE 202
MENTOR, OH 44060
Podiatrist (Foot & Ankle Surgery)
9485 MENTOR AVE, SUITE 200
MENTOR, OH 44060
Technician/Technologist (Optician)
9485 MENTOR AVE, STE111
MENTOR, OH 44060
Home Health
9485 MENTOR AVE, SUITE A04
MENTOR, OH 44060
Radiology (Radiation Oncology)
9485 MENTOR AVE, SUITE 3
MENTOR, OH 44060
Specialist (Research Study)
9485 MENTOR AVE, SUITE 105
MENTOR, OH 44060
Dentist
9485 MENTOR AVE, SUITE 112
MENTOR, OH 44060
Clinic/Center (Ambulatory Surgical)
9485 MENTOR AVE, STE 1
MENTOR, OH 44060
Podiatrist (Foot Surgery)
9485 MENTOR AVE, STE 200
MENTOR, OH 44060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861420804, enumerated as an "organization" on June 29, 2006.

The provider is located at 9485 MENTOR AVE #210 MENTOR, OH 44060 and the phone number is (440) 205-5745.

Internal Medicine with taxonomy code 207R00000X.

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