CONCORD OB/GYN ASSOCIATES PC
NPI 1114919313
Obstetrics & Gynecology in Concord, MA
NPI Status: Active since August 16, 2005
Contact Information
59 ORNAC
SUITE 1
CONCORD, MA
ZIP 01742
Phone: (978) 369-7627
Fax: (976) 371-2240
- Organization
- Obstetrics & Gynecology
- Accepts Insurance
- CLIA Number: 22D2322106
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-14-2027
About CONCORD OB/GYN ASSOCIATES PC
This page provides the complete NPI Profile along with additional information for Concord Ob/gyn Associates Pc, a women's health care provider established in Concord, Massachusetts operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1114919313 assigned on August 2005. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 17 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 Avra Jordano-alter M.d. (President)
- NPI
- 1114919313
- Provider Name
- CONCORD OB/GYN ASSOCIATES PC
- Entity Type
- Organization
- Location Address
- 59 ORNAC SUITE 1 CONCORD, MA 01742
- Location Phone
- (978) 369-7627
- Location Fax
- (976) 371-2240
- Mailing Address
- 59 ORNAC SUITE 1 CONCORD, MA 01742
- Mailing Phone
- (978) 369-7627
- Mailing Fax
- (976) 371-2240
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2005
- Last Update Date
- 10-29-2008
- Code Navigator
Women's health care providers like Concord Ob/gyn Associates Pc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
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.
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 |
|---|---|---|---|
| 9725733 | MEDICAID (05) | MA | |
| M21217 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA |
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
- 22D2322106
- Facility Type
- Physician Office
- Certificate Effective Date
- April 15, 2025
- Certificate Expiration Date
- April 14, 2027
- Laboratory Director
- DR. VLASSIS TRAVIAS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Concord Ob/gyn Associates Pc 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 | 1 | 1 | 4 | 9 | 1 | 9 | 3 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 1 | 18 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 1 + 1 + 8 + 3 + 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 = 3 | 3 | ||||||||
The NPI number 1114919313 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104818392 | AVRA JORDANO-ALTER M.D. Individual | Obstetrics & Gynecology | 59 ORNAC SUITE 1 CONCORD, MA 01742 (978) 369-7627 |
| 1730171943 | JAMIE BOND M.D. Individual | Obstetrics & Gynecology | 59 ORNAC SUITE 1 CONCORD, MA 01742 (978) 369-7627 |
| 1992797195 | VLASSIS TRAVIAS M.D. Individual | Obstetrics & Gynecology | 59 ORNAC SUITE 1 CONCORD, MA 01742 (978) 369-7627 |
| 1750320586 | MS. KIMBERLY FITZGERALD I Individual | Physician Assistant (Surgical) | 59 ORNAC CONCORD, MA 01742 (978) 369-5391 |
| 1568785954 | GRETA I WIENER FOX NP Individual | Nurse Practitioner (Family) | 59 ORNAC SUITE 1 CONCORD, MA 01742 (978) 371-0302 |
| 1184832693 | CHRISTINA THERESE THOMAS M.D. Individual | Obstetrics & Gynecology | 59 ORNAC #2SUITE 1 CONCORD, MA 01742 (978) 369-7627 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114919313, enumerated in the NPI registry as an "organization" on August 16, 2005
The provider is located at 59 Ornac Suite 1 Concord, Ma 01742 and the phone number is (978) 369-7627
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 22D2322106 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 August 16, 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].
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