CENTERVILLE CLINICS INC
NPI 1184605438
Allergy & Immunology, Allergy in Fredericktown,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 11, 2005

Contact Information

1070 Old National Pike
Fredericktown,
Post Code: 15333
Phone: (724) 632-6801
Fax: (724) 632-6312

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Centerville Clinics Inc in Fredericktown - Allergy & Immunology, Allergy

Centerville Clinics Inc is a Allergy & Immunology, Allergy in Fredericktown, . Centerville Clinics Inc practices all healthcare services and medical treatments related to Allergy & Immunology, Allergy. The NPI Number for Centerville Clinics Inc is 1184605438. The last update date is 2008-01-23.

Centerville Clinics Inc's current location address is 1070 Old National Pike, Fredericktown, . You can contact this provider via phone number (724) 632-6801 and fax number (724) 632-6312. The mailing address for Centerville Clinics Inc is 1070 Old National Pike, Fredericktown, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1184605438
Provider Legal Name
CENTERVILLE CLINICS INC
Other Organization Name
CENTERVILLE CLINICS INC
Other Name Type
-
Entity Type
Organization
Location Address
1070 Old National Pike, Fredericktown,
Location Phone
(724) 632-6801
Location Fax
(724) 632-6312
Mailing Address
1070 Old National Pike, Fredericktown, Pennsylvania(PA)
Mailing Phone
724-632-6801
Mailing Fax
724-632-6312
Enumeration Date
2005-11-11
Last Update Date
2008-01-23
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.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

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 207KA0200X Allergy Physician

Allergy & Immunology, Allergy

()
2 207N00000X Dermatology Physician

Dermatology

()
3 207R00000X Internal Medicine Physician

Internal Medicine

()
4 207W00000X Ophthalmology Physician

Ophthalmology

()
5 208100000X Physical Medicine & Rehabilitation Physician

Physical Medicine & Rehabilitation

()
6 208600000X Surgery Physician

Surgery

()
7 208800000X Urology Physician

Urology

()
8 213E00000X Podiatrist

Podiatrist

()
9 363A00000X Physician Assistant

Physician Assistant

()
10 124Q00000X Dental Hygienist

Dental Hygienist

()
11 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

()
12 104100000X Social Worker

Social Worker

()
13 103T00000X Psychologist

Psychologist

()

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
026902 Other (non-Medicare) (01) Pennsylvania (PA) HGSA MEDICARE
030163 Other (non-Medicare) (01) Pennsylvania (PA) HGSA MEDICARE
031216 Other (non-Medicare) (01) Pennsylvania (PA) HGSA MEDICARE
031218 Other (non-Medicare) (01) Pennsylvania (PA) HGSA MEDICARE
031221 Other (non-Medicare) (01) Pennsylvania (PA) HGSA MEDICARE
031395 Other (non-Medicare) (01) Pennsylvania (PA) HGSA MEDICARE
032094 Other (non-Medicare) (01) Pennsylvania (PA) HGSA MEDICARE
032095 Other (non-Medicare) (01) Pennsylvania (PA) HGSA MEDICARE
1007288440027 MEDICAID (05) Pennsylvania (PA)

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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.
1184605438
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641201046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 211641201046
2 + 1 + 1 + 6 + 4 + 1 + 2 + 0 + 1 + 0 + 4 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1184605438 is valid because the calculated check digit 8 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
1134122286 TRACEY ROESING
Individual
Family Medicine 500 OLD YORK ROAD
JENKINTOWN, Pennsylvania (PA)
215-481-2725
1124021167 SUSAN LOUISE DILLMUTH-MILLER
Individual
Audiologist 1436 OAKCREST LN
COPLAY, Pennsylvania (PA)
610-502-0821
1144223173 ARMANDO C SCIULLO
Individual
Surgery 647 N BROAD STREET EXT STE 205
GROVE CITY, Pennsylvania (PA)
724-450-7004
1093718017 CHRISTOPHER JOSEPH LYONS
Individual
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery 479 THOMAS JONES WAY
EXTON, Pennsylvania (PA)
610-280-9999
1043213226 ROBERT DAVID ARONOFF
Individual
Internal Medicine, Cardiovascular Disease PO BOX 858
HERSHEY, Pennsylvania (PA)
800-243-1455