MAGNOLIA MEDICAL COMPANY
NPI 1952094476
Family Medicine - Addiction Medicine in Shawnee Hills, OH

NPI Status: Active since May 31, 2023

Contact Information

9572 DUBLIN RD
SHAWNEE HILLS, OH
ZIP 43065
Phone: (303) 209-5115
Fax: (833) 603-0135

Get Directions Write a Review

  • Organization
  • Family Medicine
  • Addiction Medicine
  • CLIA Number: 06D2157528
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-06-2026

About MAGNOLIA MEDICAL COMPANY

This page provides the complete NPI Profile along with additional information for Magnolia Medical Company, a provider established in Shawnee Hills, Ohio operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1952094476 assigned on May 2023. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 3 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 Susie Lerner (Revenue Cycle Manager)

NPI
1952094476
Provider Name
MAGNOLIA MEDICAL COMPANY
Entity Type
Organization
Location Address
9572 DUBLIN RD SHAWNEE HILLS, OH 43065
Location Phone
(303) 209-5115
Location Fax
(833) 603-0135
Mailing Address
2925 E COLFAX AVE DENVER, CO 80206
Mailing Phone
(303) 209-5115
Mailing Fax
(833) 603-0135
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2023
Last Update Date
05-31-2023
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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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.

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

SUSIE LERNER

Authorized Official Title
REVENUE CYCLE MANAGER
Authorized Official Phone
(720) 909-3890

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
06D2157528
Facility Type
Physician Office
Certificate Effective Date
November 07, 2024
Certificate Expiration Date
November 06, 2026
Laboratory Director
DR. PRADEEP R. RAI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Magnolia Medical Company 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.

Reviews for MAGNOLIA MEDICAL COMPANY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1952094476, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 5 → 10 → 1 0 → 0 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 0 + 9 + 8 + 4 + 1 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1952094476.

Other Providers at the Same Location


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

Internal Medicine
9572 DUBLIN RD
POWELL, OH 43065
Internal Medicine
9572 DUBLIN RD
POWELL, OH 43065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952094476, enumerated as an "organization" on May 31, 2023.

The provider is located at 9572 DUBLIN RD SHAWNEE HILLS, OH 43065 and the phone number is (303) 209-5115.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.