WILSON DERMATOLOGY CLINIC PA
NPI 1174589345
Clinic/Center in Wilson, NC
NPI Status: Active since April 25, 2006
Contact Information
2874 WARD BLVD
WILSON, NC
ZIP 27893
Phone: (252) 291-5600
Fax: (252) 291-6935
- Organization
- Clinic/Center
- CLIA Number: 34D0241840
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-26-2025
About WILSON DERMATOLOGY CLINIC PA
This page provides the complete NPI Profile along with additional information for Wilson Dermatology Clinic Pa, a provider established in Wilson, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1174589345 assigned on April 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. David W Corbett Do (Owner)
- NPI
- 1174589345
- Provider Name
- WILSON DERMATOLOGY CLINIC PA
- Entity Type
- Organization
- Location Address
- 2874 WARD BLVD WILSON, NC 27893
- Location Phone
- (252) 291-5600
- Location Fax
- (252) 291-6935
- Mailing Address
- 2874 WARD BLVD WILSON, NC 27893
- Mailing Phone
- (252) 291-5600
- Mailing Fax
- (252) 291-6935
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-25-2006
- Last Update Date
- 08-22-2020
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 34D0241840
- Facility Type
- Physician Office
- Certificate Effective Date
- December 27, 2023
- Certificate Expiration Date
- December 26, 2025
- Laboratory Director
- EVAN P. STIEGEL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Wilson Dermatology Clinic Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 | 7 | 4 | 5 | 8 | 9 | 3 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 8 | 18 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 8 + 1 + 8 + 3 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1174589345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740284272 | DAVID CORBETT DO Individual | Specialist | 2874 WARD BLVD WILSON, NC 27893 (252) 291-5600 |
| 1275573537 | MR. NATHAN BARRETT WRIGHT PA-C Individual | Physician Assistant | 2874 WARD BLVD WILSON, NC 27893 (252) 291-5600 |
| 1073553525 | MR. DAVID WAYNE PATTERSON MPA, PA-C Individual | Physician Assistant | 2874 WARD BLVD WILSON, NC 27893 (252) 291-5600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174589345, enumerated in the NPI registry as an "organization" on April 25, 2006
The provider is located at 2874 Ward Blvd Wilson, Nc 27893 and the phone number is (252) 291-5600
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 34D0241840 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on April 25, 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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