BOARDMAN HEALTH AND WELLNESS, PLLC
NPI 1063453363
Family Medicine in S Boardman, MI

NPI Status: Active since June 09, 2006

Contact Information

4713 PINE ST SW
S BOARDMAN, MI
ZIP 49680
Phone: (231) 369-2656

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  • Organization
  • Family Medicine

About BOARDMAN HEALTH AND WELLNESS, PLLC

This page provides the complete NPI Profile along with additional information for Boardman Health And Wellness, Pllc, a primary care provider established in S Boardman, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1063453363 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 4301069428 (MI). The provider is registered as an organization and their NPI record was last updated 5 years ago. Boardman Health And Wellness, 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 Thomas Keane Stetler Pa-c (Officer)

NPI
1063453363
Provider Name
BOARDMAN HEALTH AND WELLNESS, PLLC
Entity Type
Organization
Location Address
4713 PINE ST SW S BOARDMAN, MI 49680
Location Phone
(231) 369-2656
Mailing Address
4713 PINE ST SW S BOARDMAN, MI 49680
Mailing Phone
(231) 369-2656
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Boardman Health And Wellness, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301069428
License State
MI
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)

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

THOMAS KEANE STETLER PA-C

Authorized Official Title
OFFICER
Authorized Official Phone
(231) 369-2656

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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.
1063453363
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123856312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 8 + 5 + 6 + 3 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1063453363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164531794 THOMAS KEANE STETLER PA-C
Individual
Physician Assistant4713 PINE ST SW
S BOARDMAN, MI 49680
(231) 518-0189
1750366308 TODD M KREYKES PA.C
Individual
Physician Assistant4713 PINE ST SW
SOUTH BOARDMAN, MI 49680
(231) 369-2656
1740564681BOARDMAN FAMILY PRACTICE PLLC
Organization
Clinic/Center (Rural Health)4713 PINE ST SW
SOUTH BOARDMAN, MI 49680
(231) 518-0189
1437213667BOARDMAN HEALTH AND WELLNESS, PLLC
Organization
Family Medicine4713 PINE ST SW
SOUTH BOARDMAN, MI 49680
(231) 369-2656

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063453363, enumerated in the NPI registry as an "organization" on June 09, 2006

The provider is located at 4713 Pine St Sw S Boardman, Mi 49680 and the phone number is (231) 369-2656

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on June 09, 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].
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