ENDEAVOR HEALTH LLC
NPI 1184103897
Internal Medicine in Wynnewood, PA
NPI Status: Active since August 13, 2018
Contact Information
100 E LANCASTER AVE # MOBE353
WYNNEWOOD, PA
ZIP 19096
Phone: (215) 880-7342
Fax: (215) 318-5050
- Organization
- Internal Medicine
- CLIA Number: 39D2158326
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-26-2026
About ENDEAVOR HEALTH LLC
This page provides the complete NPI Profile along with additional information for Endeavor Health Llc, an internist established in Wynnewood, Pennsylvania operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1184103897 assigned on August 2018. The practitioner's primary taxonomy code is 207R00000X with license number OS010918L (PA). The provider is registered as an organization and their NPI record was last updated 7 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 David A. Targan Do (Physician / Owner)
- NPI
- 1184103897
- Provider Name
- ENDEAVOR HEALTH LLC
- Entity Type
- Organization
- Location Address
- 100 E LANCASTER AVE # MOBE353 WYNNEWOOD, PA 19096
- Location Phone
- (215) 880-7342
- Location Fax
- (215) 318-5050
- Mailing Address
- 100 E LANCASTER AVE # MOBE353 WYNNEWOOD, PA 19096
- Mailing Phone
- (215) 880-7342
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-13-2018
- Last Update Date
- 08-13-2018
- Code Navigator
An internist like Endeavor Health 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.
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS010918L
- License State
- PA
- 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.
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
- 39D2158326
- Facility Type
- Physician Office
- Certificate Effective Date
- November 27, 2024
- Certificate Expiration Date
- November 26, 2026
- Laboratory Director
- DR. DAVID A. TARGAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Endeavor Health 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.
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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 | 8 | 4 | 1 | 0 | 3 | 8 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 2 | 0 | 6 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 2 + 0 + 6 + 8 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1184103897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184103897, enumerated in the NPI registry as an "organization" on August 13, 2018
The provider is located at 100 E Lancaster Ave # Mobe353 Wynnewood, Pa 19096 and the phone number is (215) 880-7342
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 39D2158326 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 August 13, 2018. 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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