WOODMEAD MEDICAL CLINIC PLLC
NPI 1194013870
Clinic/Center in Bountiful, UT
NPI Status: Active since July 15, 2011
Contact Information
3263 S HIGHWAY 89
SUITE 300
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 296-0600
Fax: (801) 295-1700
- Organization
- Clinic/Center
About WOODMEAD MEDICAL CLINIC PLLC
This page provides the complete NPI Profile along with additional information for Woodmead Medical Clinic Pllc, a provider established in Bountiful, Utah operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1194013870 assigned on July 2011. The practitioner's primary taxonomy code is 261Q00000X with license number 5863514-1205 (UT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Gavin N Van Staden M.d. (Owner)
- NPI
- 1194013870
- Provider Name
- WOODMEAD MEDICAL CLINIC PLLC
- Entity Type
- Organization
- Location Address
- 3263 S HIGHWAY 89 SUITE 300 BOUNTIFUL, UT 84010
- Location Phone
- (801) 296-0600
- Location Fax
- (801) 295-1700
- Mailing Address
- 3263 S HIGHWAY 89 SUITE 300 BOUNTIFUL, UT 84010
- Mailing Phone
- (801) 296-0600
- Mailing Fax
- (801) 295-1700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2011
- Last Update Date
- 07-15-2011
- 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
- License No.
- 5863514-1205
- License State
- UT
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | 284903-1205 (UT) |
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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 | 9 | 4 | 0 | 1 | 3 | 8 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 0 | 1 | 6 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 0 + 1 + 6 + 8 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1194013870 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487963112 | NORTH CANYON FAMILY MEDICINE AND AESTHETICS LLC Organization | Family Medicine | 3263 S HIGHWAY 89 SUITE 300 BOUNTIFUL, UT 84010 (801) 296-0600 |
| 1801174172 | GAVIN VAN STADEN MD PC Organization | Clinic/Center | 3263 S HIGHWAY 89 STE 300 BOUNTIFUL, UT 84010 (801) 296-0600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194013870, enumerated in the NPI registry as an "organization" on July 15, 2011
The provider is located at 3263 S Highway 89 Suite 300 Bountiful, Ut 84010 and the phone number is (801) 296-0600
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
This NPI record was last updated on July 15, 2011. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.