INTERVENTIONAL PAIN MANAGEMENT OF LAKE NORMAN PLLC
NPI 1992003339
Pain Medicine - Interventional Pain Medicine in Mooresville, NC

NPI Status: Active since March 09, 2011

Contact Information

170 MEDICAL PARK RD
SUITE 301
MOORESVILLE, NC
ZIP 28117
Phone: (704) 360-4378

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • Accepts Insurance

About INTERVENTIONAL PAIN MANAGEMENT OF LAKE NORMAN PLLC

This page provides the complete NPI Profile along with additional information for Interventional Pain Management Of Lake Norman Pllc, a provider established in Mooresville, North Carolina operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1992003339 assigned on March 2011. The practitioner's primary taxonomy code is 208VP0014X with license number 200000410 (NC). 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 Dr. William J Edmiston Jr. Md (Owner)

NPI
1992003339
Provider Name
INTERVENTIONAL PAIN MANAGEMENT OF LAKE NORMAN PLLC
Entity Type
Organization
Location Address
170 MEDICAL PARK RD SUITE 301 MOORESVILLE, NC 28117
Location Phone
(704) 360-4378
Mailing Address
170 MEDICAL PARK RD SUITE 301 MOORESVILLE, NC 28117
Mailing Phone
(704) 360-4378
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2011
Last Update Date
03-07-2023
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
200000410
License State
NC
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO

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

DR. WILLIAM J EDMISTON JR. MD

Authorized Official Title
OWNER
Authorized Official Phone
(704) 360-4378

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
891269NMEDICAID (05)NC 

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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 1992003339, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 8 + 2 + 0 + 0 + 6 + 3 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1992003339.

Other Providers at the Same Location


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

Home Health
170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117
Obstetrics & Gynecology
170 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 28117
Specialist
170 MEDICAL PARK RD, SUITE 101
MOORESVILLE, NC 28117
Internal Medicine (Pulmonary Disease)
170 MEDICAL PARK RD, SUITE 103
MOORESVILLE, NC 28117
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 310
MOORESVILLE, NC 28117
Family Medicine
170 MEDICAL PARK RD, SUITE 140
MOORESVILLE, NC 28117
Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Home Health
170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 310
MOORESVILLE, NC 28117
Internal Medicine (Hematology & Oncology)
170 MEDICAL PARK RD, SUITE 101
MOORESVILLE, NC 28117
Pediatrics
170 MEDICAL PARK RD, SUITE 102A
MOORESVILLE, NC 28117
Pediatrics
170 MEDICAL PARK RD, SUITE 102A
MOORESVILLE, NC 28117
Internal Medicine (Pulmonary Disease)
170 MEDICAL PARK RD, SUITE 103
MOORESVILLE, NC 28117
Internal Medicine (Endocrinology, Diabetes & Metabolism)
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
170 MEDICAL PARK RD, SUITE 102
MOORESVILLE, NC 28117
Physician Assistant
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 28117
Internal Medicine (Pulmonary Disease)
170 MEDICAL PARK RD, SUITE103
MOORESVILLE, NC 28117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992003339, enumerated as an "organization" on March 09, 2011.

The provider is located at 170 MEDICAL PARK RD SUITE 301 MOORESVILLE, NC 28117 and the phone number is (704) 360-4378.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.