DIFFINE FAMILY PRACTICE PLLC
NPI 1962707158
Family Medicine in Blytheville, AR

NPI Status: Active since January 19, 2011

Contact Information

1100 MEDICAL PLAZA DRIVE SOUTH
SUITE C
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 824-2809
Fax: (870) 762-0731

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  • Organization
  • Family Medicine
  • CLIA Number: 04D2070901
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-29-2025

About DIFFINE FAMILY PRACTICE PLLC

This page provides the complete NPI Profile along with additional information for Diffine Family Practice Pllc, a primary care provider established in Blytheville, Arkansas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1962707158 assigned on January 2011. The practitioner's primary taxonomy code is 207Q00000X with license number E-3767 (AR). 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 David A Diffine M.d, (President)

NPI
1962707158
Provider Name
DIFFINE FAMILY PRACTICE PLLC
Entity Type
Organization
Location Address
1100 MEDICAL PLAZA DRIVE SOUTH SUITE C BLYTHEVILLE, AR 72315
Location Phone
(870) 824-2809
Location Fax
(870) 762-0731
Mailing Address
PO BOX 9178 RUSSELLVILLE, AR 72811
Mailing Phone
(800) 824-4094
Mailing Fax
(870) 762-0731
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2011
Last Update Date
02-07-2024
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A primary care provider (PCP) like Diffine Family Practice Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
E-3767
License State
AR
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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 A DIFFINE M.D,

Authorized Official Title
PRESIDENT
Authorized Official Phone
(870) 824-2809

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
04D2070901
Facility Type
Physician Office
Certificate Effective Date
December 30, 2023
Certificate Expiration Date
December 29, 2025
Laboratory Director
DR. DAVID A. DIFFINE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Diffine Family Practice Pllc 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 1962707158, 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 7 → 14 → 5 7 → 14 → 5 5 → 10 → 1

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 + 4 + 0 + 1 + 4 + 1 + 1 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1962707158.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962707158, enumerated as an "organization" on January 19, 2011.

The provider is located at 1100 MEDICAL PLAZA DRIVE SOUTH SUITE C BLYTHEVILLE, AR 72315 and the phone number is (870) 824-2809.

Family Medicine with taxonomy code 207Q00000X.