CHAMPLAIN VALLEY OPEN MRI
NPI 1073516126
Clinic/Center - Magnetic Resonance Imaging (MRI) in Plattsburgh, NY

NPI Status: Active since May 23, 2005

Contact Information

118 CONSUMER SQ
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 562-3650
Fax: (518) 562-3801

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  • Organization
  • Clinic/Center
  • Magnetic Resonance Imaging (MRI)

About CHAMPLAIN VALLEY OPEN MRI

This page provides the complete NPI Profile along with additional information for Champlain Valley Open Mri, a provider established in Plattsburgh, New York operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1073516126 assigned on May 2005. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Champlain Valley Open Mri. The authorized official of this NPI record is Mrs. Michelle Douglas (Credentialing Manager)

NPI
1073516126
Provider Legal Name
LUIS F GONZALEZ, III, MD, PC
Other Organization Name
CHAMPLAIN VALLEY OPEN MRI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
118 CONSUMER SQ PLATTSBURGH, NY 12901
Location Phone
(518) 562-3650
Location Fax
(518) 562-3801
Mailing Address
118 CONSUMER SQ PLATTSBURGH, NY 12901
Mailing Phone
(518) 562-3650
Mailing Fax
(518) 562-3801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2005
Last Update Date
06-12-2008
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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

Clinic/Center Magnetic Resonance Imaging (MRI)

Taxonomy Code
261QM1200X
Type
Ambulatory Health Care Facilities

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

MRS. MICHELLE DOUGLAS

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(502) 477-1815

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
AA1124MEDICARE ID-TYPE UNSPECIFIED (04)NYMEDICARE PROVIDER NUMBER
1718890MEDICAID (05)NY 

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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.
1073516126
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431011214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 0 + 1 + 1 + 2 + 1 + 4 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1073516126 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215986575CHAMPLAIN VALLEY OPEN MRI LLC
Organization
Clinic/Center (Magnetic Resonance Imaging (MRI))118 CONSUMER SQ
PLATTSBURGH, NY 12901
(518) 562-3650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073516126, enumerated in the NPI registry as an "organization" on May 23, 2005

The provider is located at 118 Consumer Sq Plattsburgh, Ny 12901 and the phone number is (518) 562-3650

This medical organization specializes in Clinic/Center with taxonomy code 261QM1200X with a focus in Magnetic Resonance Imaging (MRI)

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 May 23, 2005. 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.