EVERSIDE HEALTH ROANOKE SOUTH
NPI 1891564878
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Roanoke, VA
NPI Status: Active since January 01, 2024
Contact Information
2741 PENN FOREST BLVD
ROANOKE, VA
ZIP 24018
Phone: (704) 661-1380
- Organization
- Preventive Medicine
- Preventive Medicine/Occupational Environ...
- CLIA Number: 52D2267935
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-01-2026
About EVERSIDE HEALTH ROANOKE SOUTH
This page provides the complete NPI Profile along with additional information for Everside Health Roanoke South, a provider established in Roanoke, Virginia operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1891564878 assigned on January 2024. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated 2 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 Jill Johnson Patton (Director Of Rosk Management)
- NPI
- 1891564878
- Provider Name
- EVERSIDE HEALTH ROANOKE SOUTH
- Entity Type
- Organization
- Location Address
- 2741 PENN FOREST BLVD ROANOKE, VA 24018
- Location Phone
- (704) 661-1380
- Mailing Address
- 1400 WEWATTA ST STE 350 DENVER, CO 80202
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-01-2024
- Last Update Date
- 01-01-2024
- Code Navigator
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
Preventive Medicine Preventive Medicine/Occupational Environmental Medicine
- Taxonomy Code
- 2083P0500X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2267935
- Facility Type
- Physician Office
- Certificate Effective Date
- September 02, 2024
- Certificate Expiration Date
- September 01, 2026
- Laboratory Director
- DEANN T. BROWN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Everside Health Roanoke South to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1891564878, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891564878, enumerated as an "organization" on January 01, 2024.
The provider is located at 2741 PENN FOREST BLVD ROANOKE, VA 24018 and the phone number is (704) 661-1380.
Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.
