PENINSULA LIGHTHOUSE PENINSULA OUTPATIENT CENTER
NPI 1154303162
Clinic/center, Mental Health (including Community Mental Health Center) in Knoxville,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 16, 2005

Contact Information

6800 Baum Dr
Knoxville,
Post Code: 37919
Phone: (865) 970-9800
Fax: (865) 380-1461

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Peninsula Lighthouse Peninsula Outpatient Center in Knoxville - Clinic/Center, Mental Health (Including Community Mental Health Center)

Peninsula Lighthouse Peninsula Outpatient Center is a Clinic/Center, Mental Health (Including Community Mental Health Center) in Knoxville, . Peninsula Lighthouse Peninsula Outpatient Center practices all healthcare services and medical treatments related to Clinic/Center, Mental Health (Including Community Mental Health Center). The NPI Number for Peninsula Lighthouse Peninsula Outpatient Center is 1154303162. The last update date is 2020-08-22.

Peninsula Lighthouse Peninsula Outpatient Center's current location address is 6800 Baum Dr, Knoxville, . You can contact this provider via phone number (865) 970-9800 and fax number (865) 380-1461. The mailing address for Peninsula Lighthouse Peninsula Outpatient Center is 6800 Baum Dr, Knoxville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1154303162
Provider Legal Name
PARKWEST MEDICAL CENTER
Other Organization Name
PENINSULA LIGHTHOUSE PENINSULA OUTPATIENT CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
6800 Baum Dr, Knoxville,
Location Phone
(865) 970-9800
Location Fax
(865) 380-1461
Mailing Address
Po Box 1999, Louisville, Tennessee(TN)
Mailing Phone
865-970-1295
Mailing Fax
865-380-1461
Enumeration Date
2005-11-16
Last Update Date
2020-08-22
Code Navigator

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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center)

Clinic/Center, Mental Health (Including Community Mental Health Center)

L 2(14)M5-076-1466 (Tennessee)
2 261QR0405X Substance Use Disorder Rehabilitation Clinic/Center

Clinic/Center, Rehabilitation, Substance Use Disorder

L 2(14)M5-076-1466 (Tennessee)

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
0440173 MEDICAID (05) Tennessee (TN)

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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.
1154303162
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104606112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21104606112
2 + 1 + 1 + 0 + 4 + 6 + 0 + 6 + 1 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1154303162 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134122187 CHERYL DENISE RUDNICKE
Individual
Nurse Practitioner PO BOX 440100
NASHVILLE, Tennessee (TN)
615-986-4102
1003819046 BARBARA H NYLANDER
Individual
Obstetrics & Gynecology, Gynecology 3024 BUSINESS PARK CIR
GOODLETTSVILLE, Tennessee (TN)
615-851-6033
1104829134 RANDALL FALCONER
Individual
Otolaryngology 1728 N EASTMAN RD
KINGSPORT, Tennessee (TN)
423-230-6532
1073516001 DAVID L ROSS
Individual
Internal Medicine 127 CRESTVIEW PARK DR
DICKSON, Tennessee (TN)
615-446-5121
1144223298 KIRBY L SMITH
Individual
Internal Medicine, Hematology & Oncology 80 HUMPHREYS CENTER DR STE 330
MEMPHIS, Tennessee (TN)
901-752-6131