JACK R LICHTENSTEIN, MD LLC
NPI 1043288087
Internal Medicine - Rheumatology in Annapolis, MD

NPI Status: Active since March 08, 2006

Contact Information

205 RIDGELY AVE
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 263-6910
Fax: (443) 433-0456

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  • Organization
  • Internal Medicine
  • Rheumatology

About JACK R LICHTENSTEIN, MD LLC

This page provides the complete NPI Profile along with additional information for Jack R Lichtenstein, Md Llc, an internist established in Annapolis, Maryland operating as a Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1043288087 assigned on March 2006. The practitioner's primary taxonomy code is 207RR0500X with license number D0008194 (MD). The provider is registered as an organization and their NPI record was last updated 17 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 Mr. Jack R. Lichtenstein M.d. (Owner)

NPI
1043288087
Provider Name
JACK R LICHTENSTEIN, MD LLC
Entity Type
Organization
Location Address
205 RIDGELY AVE ANNAPOLIS, MD 21401
Location Phone
(410) 263-6910
Location Fax
(443) 433-0456
Mailing Address
205 RIDGELY AVE ANNAPOLIS, MD 21401
Mailing Phone
(410) 263-6910
Mailing Fax
(443) 433-0456
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-08-2006
Last Update Date
08-01-2008
Code Navigator

An internist like Jack R Lichtenstein, Md Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Rheumatology

Taxonomy Code
207RR0500X
Type
Allopathic & Osteopathic Physicians
License No.
D0008194
License State
MD
Taxonomy Description
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

D08194 (MD)
2207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

D08194 (MD)
3207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

D0065841 (MD)

Group Taxonomy 193400000X MULTIPLE 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:

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

MR. JACK R. LICHTENSTEIN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(410) 268-6910

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
3304001OTHER (01)MDCAREFIRST
J1740003OTHER (01)DCCAREFIRST
796MMEDICARE PIN (08)MD 
D76263MEDICARE UPIN (02) 
785361100MEDICAID (05)MD 

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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.
1043288087
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20834816016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 8 + 1 + 6 + 0 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1043288087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932170628 GALE GENEVIEVE CROMWELL CRNP
Individual
Nurse Practitioner205 RIDGELY AVE
ANNAPOLIS, MD 21401
(410) 263-6910
1609844224MR. JACK R LICHTENSTEIN MD
Individual
Internal Medicine205 RIDGELY AVE
ANNAPOLIS, MD 21401
(410) 263-6910
1801139605JRL AND ASSOCIATES
Organization
Dermatology205 RIDGELY AVE
ANNAPOLIS, MD 21401
(410) 263-6910
1336646728 KRISTIN BENNETT PTA
Individual
Physical Therapy Assistant205 RIDGELY AVE
ANNAPOLIS, MD 21401
(443) 433-0468
1013158153 HSU HUEI THIGPEN DPT
Individual
Physical Therapist205 RIDGELY AVE
ANNAPOLIS, MD 21401
(443) 433-0468
1952402729MRS. EMILY WEINFELD PT
Individual
Physical Therapist205 RIDGELY AVE
ANNAPOLIS, MD 21401
(443) 433-0468

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043288087, enumerated in the NPI registry as an "organization" on March 08, 2006

The provider is located at 205 Ridgely Ave Annapolis, Md 21401 and the phone number is (410) 263-6910

This medical organization specializes in Internal Medicine with taxonomy code 207RR0500X with a focus in Rheumatology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.