CHESAPEAKE WELLNESS CENTER
NPI 1083163307
Family Medicine - Addiction Medicine in Cecilton, MD
NPI Status: Active since September 28, 2016
Contact Information
251 S BOHEMIA AVE
CECILTON, MD
ZIP 21913
Phone: (410) 275-8156
Fax: (877) 433-6830
- Organization
- Family Medicine
- Addiction Medicine
- CLIA Number: 21D1024274
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-06-2026
About CHESAPEAKE WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for Chesapeake Wellness Center, a provider established in Cecilton, Maryland operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1083163307 assigned on September 2016. The practitioner's primary taxonomy code is 207QA0401X with license number H0056426 (MD). The provider is registered as an organization and their NPI record was last updated 9 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 Linda Jean Katz (Sole Member)
- NPI
- 1083163307
- Provider Name
- CHESAPEAKE WELLNESS CENTER
- Entity Type
- Organization
- Location Address
- 251 S BOHEMIA AVE CECILTON, MD 21913
- Location Phone
- (410) 275-8156
- Location Fax
- (877) 433-6830
- Mailing Address
- 79 PORT HERMAN RD CHESAPEAKE CITY, MD 21915
- Mailing Phone
- (410) 275-8156
- Mailing Fax
- (877) 433-6830
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-28-2016
- Last Update Date
- 12-14-2016
- 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
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H0056426
- License State
- MD
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
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) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | XK8322339 (MD) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | R177831 (MD) |
Group Taxonomy 193400000X MULTIPLE 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
- 21D1024274
- Facility Type
- Physician Office
- Certificate Effective Date
- April 07, 2024
- Certificate Expiration Date
- April 06, 2026
- Laboratory Director
- PAUL M. KATZ DO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Chesapeake Wellness Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 | 8 | 3 | 1 | 6 | 3 | 3 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 2 | 6 | 6 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 2 + 6 + 6 + 3 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1083163307 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1568410603 | WALLACE OBENSHAIN MD Individual | Family Medicine | 251 S BOHEMIA AVE CECILTON, MD 21913 (410) 275-8157 |
| 1689123291 | UPPER BAY COUNSELING & SUPPORT SERVICES, INC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 251 S BOHEMIA AVE CECILTON, MD 21913 (410) 996-5104 |
| 1144771908 | UPPER BAY COUNSELING & SUPPORT SERVICES, INC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 251 S BOHEMIA AVE CECILTON, MD 21913 (410) 996-5104 |
| 1952852717 | UPPER BAY COUNSELING & SUPPORT SERVICES, INC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 251 S BOHEMIA AVE CECILTON, MD 21913 (410) 996-5104 |
| 1083165880 | UPPER BAY COUNSELING & SUPPORT SERVICES, INC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 251 S BOHEMIA AVE CECILTON, MD 21913 (410) 996-5104 |
| 1760093009 | CHESAPEAKE WELLNESS CENTER Organization | Family Medicine (Addiction Medicine) | 251 S BOHEMIA AVE CECILTON, MD 21913 (410) 275-8156 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083163307, enumerated in the NPI registry as an "organization" on September 28, 2016
The provider is located at 251 S Bohemia Ave Cecilton, Md 21913 and the phone number is (410) 275-8156
This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine
The provider's CLIA number is 21D1024274 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on September 28, 2016. 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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