MAGNOLIA FAMILY HEALTH LLC
NPI 1972103661
Nurse Practitioner - Primary Care in Cumberland, MD
NPI Status: Active since October 30, 2020
Contact Information
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
Phone: (301) 759-3800
- Organization
- Nurse Practitioner
- Primary Care
- CLIA Number: 21D2258084
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 04-17-2026
About MAGNOLIA FAMILY HEALTH LLC
This page provides the complete NPI Profile along with additional information for Magnolia Family Health Llc, a provider established in Cumberland, Maryland operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1972103661 assigned on October 2020. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Faith Ann Rodeheaver Crnp (Owner/provider)
- NPI
- 1972103661
- Provider Name
- MAGNOLIA FAMILY HEALTH LLC
- Entity Type
- Organization
- Location Address
- 925 BISHOP WALSH RD CUMBERLAND, MD 21502
- Location Phone
- (301) 759-3800
- Mailing Address
- 925 BISHOP WALSH RD CUMBERLAND, MD 21502
- Mailing Phone
- (301) 759-3800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-30-2020
- Last Update Date
- 10-30-2020
- Code Navigator
A nurse practitioner (NP) like Magnolia Family Health Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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
- 21D2258084
- Facility Type
- Practitioner Other
- Certificate Effective Date
- April 18, 2024
- Certificate Expiration Date
- April 17, 2026
- Laboratory Director
- FAITH A. RODEHEAVER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Magnolia Family Health Llc 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 7 | 2 | 1 | 0 | 3 | 6 | 6 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 14 | 2 | 2 | 0 | 6 | 6 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 4 + 2 + 2 + 0 + 6 + 6 + 1 + 2 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1972103661 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
DR. WONSOCK SHIN M.D.
Internal Medicine
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
WONSOCK SHIN MD LLC
Internal Medicine
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
DR. MOHAMMAD ALI BEHNAM MD
Obstetrics & Gynecology
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
MRS. HEATHER LEA PESTA MS LCPC
Counselor
925 BISHOP WALSH RD
SUITE 3
CUMBERLAND, MD
ZIP 21502
KAREN LOUISE GOLDEN ED.D.
Psychologist
925 BISHOP WALSH RD
SUITE 3
CUMBERLAND, MD
ZIP 21502
WONSOCK SHIN MD, LLC
Internal Medicine
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
ALI BEHNAM, M.D.,P.A.
Obstetrics & Gynecology
(Gynecology)
925 BISHOP WALSH RD
SUITE # 7
CUMBERLAND, MD
ZIP 21502
DR. HOWARD ROBERT STRAUSS DDS
Dentist
(Oral and Maxillofacial Surgery)
925 BISHOP WALSH RD
STE 2
CUMBERLAND, MD
ZIP 21502
HOWARD R. STRAUSS, DDS, PA
Clinic/Center
(Oral and Maxillofacial Surgery)
925 BISHOP WALSH RD
STE 2
CUMBERLAND, MD
ZIP 21502
WESTERN MARYLAND SURGICENTER LLP
Clinic/Center
(Ambulatory Surgical)
925 BISHOP WALSH RD
STE 2
CUMBERLAND, MD
ZIP 21502
CONNIE JO MORRIS MSN, CRNP, FNP-BC
Nurse Practitioner
(Family)
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
DR. GARY L WAGONER MD P A
Family Medicine
925 BISHOP WALSH RD
SUITE 4
CUMBERLAND, MD
ZIP 21502
GARY L WAGONER MD P A
Family Medicine
925 BISHOP WALSH RD
SUITE 4
CUMBERLAND, MD
ZIP 21502
PROACTIVE PAIN AND NEUROLOGY, LLC
Nurse Practitioner
(Primary Care)
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
JESSICA EMMA MILLER CRNP
Nurse Practitioner
(Family)
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
GRETA J CAIN CRNP
Nurse Practitioner
(Family)
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
SHERRY FARRELL FNP-C
Nurse Practitioner
(Family)
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
DR. SOHAIB FAZEEL KHAN DDS
Dentist
(Oral and Maxillofacial Surgery)
925 BISHOP WALSH RD
CUMBERLAND, MD
ZIP 21502
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972103661, enumerated as an "organization" on October 30, 2020.
The provider is located at 925 BISHOP WALSH RD CUMBERLAND, MD 21502 and the phone number is (301) 759-3800.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.