SOUTHEASTERN CENTER FOR FERTILITY AND REPRODUCTIVE SURGERY, PLLC
NPI 1043852601
Obstetrics & Gynecology - Reproductive Endocrinology in Knoxville, TN
NPI Status: Active since October 15, 2019
Contact Information
11126 KINGSTON PIKE
KNOXVILLE, TN
ZIP 37934
Phone: (865) 777-0088
Fax: (865) 777-2015
- Organization
- Obstetrics & Gynecology
- Reproductive Endocrinology
- CLIA Number: 44D0960489
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-03-2025
About SOUTHEASTERN CENTER FOR FERTILITY AND REPRODUCTIVE SURGERY, PLLC
This page provides the complete NPI Profile along with additional information for Southeastern Center For Fertility And Reproductive Surgery, Pllc, a women's health care provider established in Knoxville, Tennessee operating as a Obstetrics & Gynecology, focusing in reproductive endocrinology . The healthcare provider is registered in the NPI registry with number 1043852601 assigned on October 2019. The practitioner's primary taxonomy code is 207VE0102X. The provider is registered as an organization and their NPI record was last updated 6 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 John D. Gordon Md (Owner)
- NPI
- 1043852601
- Provider Name
- SOUTHEASTERN CENTER FOR FERTILITY AND REPRODUCTIVE SURGERY, PLLC
- Entity Type
- Organization
- Location Address
- 11126 KINGSTON PIKE KNOXVILLE, TN 37934
- Location Phone
- (865) 777-0088
- Location Fax
- (865) 777-2015
- Mailing Address
- PO BOX 25686 BELFAST, ME 04915
- Mailing Phone
- (617) 402-1000
- Mailing Fax
- (865) 777-2015
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2019
- Last Update Date
- 10-15-2019
- Code Navigator
Women's health care providers like Southeastern Center For Fertility And Reproductive Surgery, Pllc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology Reproductive Endocrinology
- Taxonomy Code
- 207VE0102X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
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
- 44D0960489
- Facility Type
- Physician Office
- Certificate Effective Date
- September 04, 2023
- Certificate Expiration Date
- September 03, 2025
- Laboratory Director
- DR. JOHN GORDON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Southeastern Center For Fertility And Reproductive Surgery, Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 0 | 4 | 3 | 8 | 5 | 2 | 6 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 16 | 5 | 4 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 6 + 5 + 4 + 6 + 0 + 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 1043852601 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265730337 | AUTUMN GALBRAITH APN Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 11126 KINGSTON PIKE KNOXVILLE, TN 37934 (865) 777-0088 |
| 1871855205 | JEFFREY A KEENAN MD Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 11126 KINGSTON PIKE KNOXVILLE, TN 37934 (865) 777-0088 |
| 1164858924 | CAROL SOMMERFELT ELD Individual | Pathology (Clinical Laboratory Director, Non-physician) | 11126 KINGSTON PIKE KNOXVILLE, TN 37934 (865) 777-0088 |
| 1679950182 | MRS. CIERA ROBERTS MSN, APN, WHNP-BC Individual | Nurse Practitioner (Women's Health) | 11126 KINGSTON PIKE KNOXVILLE, TN 37934 (865) 777-0088 |
| 1801980479 | DR. JOHN GORDON M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 11126 KINGSTON PIKE KNOXVILLE, TN 37934 (865) 777-0088 |
| 1790193092 | STEPHANIE LEIGH SMITH CRNA Individual | Nurse Anesthetist, Certified Registered | 11126 KINGSTON PIKE KNOXVILLE, TN 37934 (865) 777-0088 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043852601, enumerated in the NPI registry as an "organization" on October 15, 2019
The provider is located at 11126 Kingston Pike Knoxville, Tn 37934 and the phone number is (865) 777-0088
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207VE0102X with a focus in Reproductive Endocrinology
The provider's CLIA number is 44D0960489 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 15, 2019. 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].
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