CLINIC 21 OF TARRANT COUNTY, PLLC
NPI 1871986109
Emergency Medicine in Southlake, TX

NPI Status: Active since March 11, 2015

Contact Information

431 E. STATE HIGHWAY 114 SUITE 120
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 251-3981
Fax: (817) 251-3245

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  • Organization
  • Emergency Medicine

About CLINIC 21 OF TARRANT COUNTY, PLLC

This page provides the complete NPI Profile along with additional information for Clinic 21 Of Tarrant County, Pllc, a provider established in Southlake, Texas operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1871986109 assigned on March 2015. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 11 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 David C Packo Md (President)

NPI
1871986109
Provider Name
CLINIC 21 OF TARRANT COUNTY, PLLC
Entity Type
Organization
Location Address
431 E. STATE HIGHWAY 114 SUITE 120 SOUTHLAKE, TX 76092
Location Phone
(817) 251-3981
Location Fax
(817) 251-3245
Mailing Address
4535 DRESSLER RD NW CANTON, OH 44718
Mailing Phone
(330) 493-4443
Mailing Fax
(817) 251-3245
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2015
Last Update Date
11-16-2015
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X MULTIPLE 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

DAVID C PACKO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(330) 493-4443

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
7399370001MEDICARE NSC (07)TX 

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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 1871986109, 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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
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 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3 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 + 4 + 1 + 1 + 8 + 8 + 1 + 2 + 1 + 0 + 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 1871986109.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871986109, enumerated as an "organization" on March 11, 2015.

The provider is located at 431 E. STATE HIGHWAY 114 SUITE 120 SOUTHLAKE, TX 76092 and the phone number is (817) 251-3981.

Emergency Medicine with taxonomy code 207P00000X.

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