MACE MEDICAL LLC
NPI 1114374360
Internal Medicine in Essex, MD

NPI Status: Active since May 18, 2016

Contact Information

1124 MACE AVE
ESSEX, MD
ZIP 21221
Phone: (410) 391-6996
Fax: (410) 687-6877

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  • Organization
  • Internal Medicine
  • CLIA Number: 21D2285291
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-10-2025

About MACE MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Mace Medical Llc, an internist established in Essex, Maryland operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1114374360 assigned on May 2016. The practitioner's primary taxonomy code is 207R00000X. 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 Dr. John M Lee M.d. (Physician)

NPI
1114374360
Provider Name
MACE MEDICAL LLC
Entity Type
Organization
Location Address
1124 MACE AVE ESSEX, MD 21221
Location Phone
(410) 391-6996
Location Fax
(410) 687-6877
Mailing Address
1124 MACE AVE ESSEX, MD 21221
Mailing Phone
(410) 391-6996
Mailing Fax
(410) 687-6877
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2016
Last Update Date
05-18-2016
Code Navigator

An internist like Mace Medical Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X 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.

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

DR. JOHN M LEE M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(410) 391-6996

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
21D2285291
Facility Type
Physician Office
Certificate Effective Date
July 11, 2023
Certificate Expiration Date
July 10, 2025
Laboratory Director
SAJID ARAIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mace Medical 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 MACE MEDICAL 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.
1114374360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124678312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 6 + 7 + 8 + 3 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114374360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104831684 SAVITHA SHIVANANDA
Individual
Internal Medicine1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1306852827 JOHN LOH
Individual
Internal Medicine1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1972619195DR. RAJESH VASANT RAIKAR MD
Individual
Surgery1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-9855
1295920403MATRIX RX
Organization
Clinic/Center (Health Service)1124 MACE AVE
BALTIMORE, MD 21221
(443) 600-7466
1255515953SAVITHA SHIVANANDA ,M.D.,PA
Organization
Internal Medicine1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1083854053JOHN J LOH ,D. O.,P A
Organization
Internal Medicine1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1255572921SAJID ARAIN,M.D.,PA
Organization
Internal Medicine1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1043541253CHUKWUMA EBO,M.D.,PA
Organization
Internal Medicine1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1376893602PROF. SHERRI A FUGET L.M.T.
Individual
Massage Therapist1124 MACE AVE
BALTIMORE, MD 21221
(410) 238-2292
1285070870JOHN MANSUNG LEE,M.D.
Organization
Internal Medicine1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1275849051 JOHN M LEE M.D.
Individual
Internal Medicine1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1861892176MARC SINGER DPM PA
Organization
Durable Medical Equipment & Medical Supplies1124 MACE AVE
BALTIMORE, MD 21221
(410) 687-8600
1275548729 CHUKWUMA EBO
Individual
Internal Medicine1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1134536170 LAUREN LOKEY MSN, FNP-C
Individual
Nurse Practitioner (Family)1124 MACE AVE
BALTIMORE, MD 21221
(104) 391-6996
1306490271 JANET ARMSTEAD WULF DNP, CRNP
Individual
Nurse Practitioner (Adult Health)1124 MACE AVE
ESSEX, MD 21221
(410) 391-6996
1740881226 HANNAH THERESE WHITEHEAD
Individual
Nurse Practitioner (Primary Care)1124 MACE AVE
ESSEX, MD 21221
(410) 391-6996
1114457421 OLOLADE IKUOMOLA NP-C
Individual
Nurse Practitioner (Primary Care)1124 MACE AVE
BALTIMORE, MD 21221
(410) 391-6996
1619437860 MONIKA THANDALAM SOMASEKAR
Individual
Internal Medicine1124 MACE AVE
ESSEX, MD 21221
(410) 391-6996
1225748197 GANESH TAMANG NP
Individual
Nurse Practitioner1124 MACE AVE
ESSEX, MD 21221
(410) 391-6996
1841908647 CINDI MARIE BEANLAND CRNP
Individual
Nurse Practitioner (Family)1124 MACE AVE
ESSEX, MD 21221
(410) 391-6996

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114374360, enumerated in the NPI registry as an "organization" on May 18, 2016

The provider is located at 1124 Mace Ave Essex, Md 21221 and the phone number is (410) 391-6996

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider's CLIA number is 21D2285291 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 May 18, 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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