INTEGRATIVE IMMUNOLOGY CARE PLLC
NPI 1063239044
Dermatology in Charlotte, NC

NPI Status: Active since September 23, 2024

Contact Information

8810 BLAKENEY PROFESSIONAL DR STE 100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 910-1402
Fax: (704) 910-1506

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  • Organization
  • Dermatology

About INTEGRATIVE IMMUNOLOGY CARE PLLC

This page provides the complete NPI Profile along with additional information for Integrative Immunology Care Pllc, a provider established in Charlotte, North Carolina operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1063239044 assigned on September 2024. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Integrative Immunology Care Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Maeve Oconnor (Owner)

NPI
1063239044
Provider Name
INTEGRATIVE IMMUNOLOGY CARE PLLC
Entity Type
Organization
Location Address
8810 BLAKENEY PROFESSIONAL DR STE 100 CHARLOTTE, NC 28277
Location Phone
(704) 910-1402
Location Fax
(704) 910-1506
Mailing Address
8810 BLAKENEY PROFESSIONAL DR STE 100 CHARLOTTE, NC 28277
Mailing Phone
(704) 910-1402
Mailing Fax
(704) 910-1506
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2024
Last Update Date
09-23-2024
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A dermatologist like Integrative Immunology Care Pllc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MAEVE OCONNOR

Authorized Official Title
OWNER
Authorized Official Phone
(704) 910-1402

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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.
1063239044
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123431808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 3 + 1 + 8 + 0 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1063239044 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063239044, enumerated in the NPI registry as an "organization" on September 23, 2024

The provider is located at 8810 Blakeney Professional Dr Ste 100 Charlotte, Nc 28277 and the phone number is (704) 910-1402

This medical organization specializes in Dermatology with taxonomy code 207N00000X

This NPI record was last updated on September 23, 2024. 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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