MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC
NPI 1063174308
Durable Medical Equipment & Medical Supplies - Customized Equipment in Columbiana, OH
NPI Status: Active since October 13, 2021
Contact Information
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH
ZIP 44408
Phone: (330) 482-9350
- Organization
- Durable Medical Equipment & Medical Supp...
- Customized Equipment
- CLIA Number: 36D0688051
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-07-2025
About MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC
This page provides the complete NPI Profile along with additional information for Mercy Health Physicians Youngstown Specialty Care Llc, a provider established in Columbiana, Ohio operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1063174308 assigned on October 2021. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Wilbur Gay (Cfo)
- NPI
- 1063174308
- Provider Name
- MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC
- Entity Type
- Organization
- Location Address
- 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408
- Location Phone
- (330) 482-9350
- Mailing Address
- PO BOX 631332 CINCINNATI, OH 45263
- Mailing Phone
- (888) 696-3541
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-13-2021
- Last Update Date
- 10-13-2021
- Code Navigator
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
Durable Medical Equipment & Medical Supplies Customized Equipment
- Taxonomy Code
- 332BC3200X
- Type
- Suppliers
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
- 36D0688051
- Facility Type
- Physician Office
- Certificate Effective Date
- August 08, 2023
- Certificate Expiration Date
- August 07, 2025
- Laboratory Director
- MICHELLE DOCKRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mercy Health Physicians Youngstown Specialty Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC
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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 | 6 | 3 | 1 | 7 | 4 | 3 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 2 | 7 | 8 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 2 + 7 + 8 + 3 + 0 + 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 1063174308 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 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093710808 | DAVID NICHOLAS BAER DPM Individual | Podiatrist (Primary Podiatric Medicine) | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
| 1467456319 | THOMAS R TIMKO M.D. Individual | Internal Medicine | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
| 1902800865 | RICHARD A SIMMONS D.O. Individual | Family Medicine | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
| 1871586040 | MS. LORI JEAN GRENICH MS, MSN, RN, CNP Individual | Nurse Practitioner (Adult Health) | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
| 1326453010 | MATTHEW MICHAEL NARDUCCI DPM Individual | Podiatrist (Primary Podiatric Medicine) | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
| 1104304260 | MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC Organization | Durable Medical Equipment & Medical Supplies | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
| 1043669476 | MR. WYNAND NEL MD Individual | Family Medicine | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
| 1548757685 | BRIAN SANCHEZ MD Individual | Family Medicine | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
| 1003194739 | JOHN ALEX HEINTZELMAN M.D. Individual | Family Medicine | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
| 1316075021 | MR. ALBERT J GUARNIERI PT Individual | Physical Therapist | 107 ROYAL BIRKDALE DR STE A COLUMBIANA, OH 44408 (330) 482-9350 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063174308, enumerated in the NPI registry as an "organization" on October 13, 2021
The provider is located at 107 Royal Birkdale Dr Ste A Columbiana, Oh 44408 and the phone number is (330) 482-9350
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X with a focus in Customized Equipment
The provider's CLIA number is 36D0688051 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 13, 2021. 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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