PREMIUM PEDIATRICS PLLC
NPI 1174699359
Pediatrics in Campbellsville, KY
NPI Status: Active since November 28, 2006
Contact Information
307 E BROADWAY ST
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 789-4788
Fax: (270) 572-4227
- Organization
- Pediatrics
About PREMIUM PEDIATRICS PLLC
This page provides the complete NPI Profile along with additional information for Premium Pediatrics Pllc, a pediatrician established in Campbellsville, Kentucky operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1174699359 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X. 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 Dan G. Bodeanu Md (Physician And Owner)
- NPI
- 1174699359
- Provider Name
- PREMIUM PEDIATRICS PLLC
- Entity Type
- Organization
- Location Address
- 307 E BROADWAY ST CAMPBELLSVILLE, KY 42718
- Location Phone
- (270) 789-4788
- Location Fax
- (270) 572-4227
- Mailing Address
- 307 E BROADWAY ST CAMPBELLSVILLE, KY 42718
- Mailing Phone
- (270) 789-4788
- Mailing Fax
- (270) 572-4227
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-28-2006
- Last Update Date
- 08-11-2008
- Code Navigator
A pediatrician like Premium Pediatrics Pllc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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:
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 |
|---|---|---|---|
| 50013851 | OTHER (01) | KY | PASSPORT |
| 00203 | MEDICARE PIN (08) | KY | |
| 64128457 | MEDICAID (05) | KY |
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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 | 6 | 9 | 9 | 3 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 12 | 9 | 18 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 2 + 9 + 1 + 8 + 3 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1174699359 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1306948922 | DR. DAN GEORGE BODEANU MD Individual | Pediatrics | 307 E BROADWAY ST CAMPBELLSVILLE, KY 42718 (270) 789-4788 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174699359, enumerated in the NPI registry as an "organization" on November 28, 2006
The provider is located at 307 E Broadway St Campbellsville, Ky 42718 and the phone number is (270) 789-4788
This medical organization specializes in Pediatrics with taxonomy code 208000000X
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 November 28, 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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