SOUTH CHARLESTON PEDIATRICS
NPI 1962563593
Clinical Medical Laboratory in Charleston, WV

NPI Status: Active since December 13, 2006

Contact Information

4607 MACCORKLE AVE SW
STE 400
CHARLESTON, WV
ZIP 25309
Phone: (304) 766-4400
Fax: (304) 766-4417

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  • Organization
  • Clinical Medical Laboratory

About SOUTH CHARLESTON PEDIATRICS

This page provides the complete NPI Profile along with additional information for South Charleston Pediatrics, a provider established in Charleston, West Virginia operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1962563593 assigned on December 2006. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jamie Beth Ray (Office Manager)

NPI
1962563593
Provider Name
SOUTH CHARLESTON PEDIATRICS
Entity Type
Organization
Location Address
4607 MACCORKLE AVE SW STE 400 CHARLESTON, WV 25309
Location Phone
(304) 766-4400
Location Fax
(304) 766-4417
Mailing Address
4607 MACCORKLE AVE SW STE 400 CHARLESTON, WV 25309
Mailing Phone
(304) 766-4400
Mailing Fax
(304) 766-4417
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2006
Last Update Date
08-22-2020
Code Navigator

Establishments like South Charleston Pediatrics are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License State
WV
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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

JAMIE BETH RAY

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(304) 766-4469

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
6705182000MEDICAID (05)WV 

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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 1962563593, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 5 → 10 → 1 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 1 + 0 + 6 + 6 + 5 + 1 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1962563593.

Other Providers at the Same Location


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

Obstetrics & Gynecology
4607 MACCORKLE AVE SW, STE 301
SOUTH CHARLESTON, WV 25309
Otolaryngology
4607 MACCORKLE AVE SW, STE 406
SOUTH CHARLESTON, WV 25309
Counselor (Professional)
4607 MACCORKLE AVE SW, SUITE 305
CHARLESTON, WV 25309
Audiologist
4607 MACCORKLE AVE SW, SUITE 406
SOUTH CHARLESTON, WV 25309
Social Worker
4607 MACCORKLE AVE SW, SUITE 305
SOUTH CHARLESTON, WV 25309
Surgery
4607 MACCORKLE AVE SW, SUITE 306
SOUTH CHARLESTON, WV 25309
Pediatrics
4607 MACCORKLE AVE SW, STE 400
SOUTH CHARLESTON, WV 25309
Psychologist
4607 MACCORKLE AVE SW, SUITE 305
SOUTH CHARLESTON, WV 25309
Pediatrics
4607 MACCORKLE AVE SW, MP STE 204
SOUTH CHARLESTON, WV 25309
Pediatrics
4607 MACCORKLE AVE SW, SUITE 400
SOUTH CHARLESTON, WV 25309
Counselor (Professional)
4607 MACCORKLE AVE SW, SUITE 305
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Psychiatric/Mental Health)
4607 MACCORKLE AVE SW, SUITE 305
SOUTH CHARLESTON, WV 25309
Internal Medicine
4607 MACCORKLE AVE SW, SUITE MP200
SOUTH CHARLESTON, WV 25309
Pediatrics
4607 MACCORKLE AVE SW, MEDICAL PAVILION SUITE 204
SOUTH CHARLESTON, WV 25309
Specialist
4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309
Physician Assistant
4607 MACCORKLE AVE SW, SUITE 400
SOUTH CHARLESTON, WV 25309
Internal Medicine
4607 MACCORKLE AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4607 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4607 MACCORKLE AVE SW, SUITE 401
SOUTH CHARLESTON, WV 25309
Pediatrics
4607 MACCORKLE AVE SW, MP STE 204
SOUTH CHARLESTON, WV 25309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962563593, enumerated as an "organization" on December 13, 2006.

The provider is located at 4607 MACCORKLE AVE SW STE 400 CHARLESTON, WV 25309 and the phone number is (304) 766-4400.

Clinical Medical Laboratory with taxonomy code 291U00000X.

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