DELTON MEDICAL CENTER
NPI 1215048384
Family Medicine in Delton, MI

NPI Status: Active since August 31, 2006

Contact Information

11275 SPRAGUE RD
DELTON, MI
ZIP 49046
Phone: (269) 623-7121
Fax: (269) 623-5527

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  • Organization
  • Family Medicine

About DELTON MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Delton Medical Center, a primary care provider established in Delton, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1215048384 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 5101008208 (MI). 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 provider's is doing business as Delton Medical Center. The authorized official of this NPI record is Joseph C. Roth D.o. (Owner)

NPI
1215048384
Provider Legal Name
JCR DO PLC
Other Organization Name
DELTON MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11275 SPRAGUE RD DELTON, MI 49046
Location Phone
(269) 623-7121
Location Fax
(269) 623-5527
Mailing Address
11275 SPRAGUE RD DELTON, MI 49046
Mailing Phone
(269) 623-7121
Mailing Fax
(269) 623-5527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
12-15-2008
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A primary care provider (PCP) like Delton Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
5101008208
License State
MI
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH C. ROTH D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(269) 623-7121

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
0N98930001MEDICARE PIN (08)MI 
4639104MEDICAID (05)MI 
=========OTHER (01)MITAX ID NUMBER
0M9860017MEDICARE PIN (08) 
383530765OTHER (01)MITAX ID
E26163MEDICARE UPIN (02)MI 

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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.
1215048384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22250416316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 0 + 4 + 1 + 6 + 3 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1215048384 is valid because the calculated check digit 4 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
1013023621 JOHN D KEHL PA
Individual
Physician Assistant (Medical)11275 SPRAGUE RD
DELTON, MI 49046
(269) 623-7121
1780046227PENNOCK HOSPITAL BOARD OF TRUSTEES
Organization
Nurse Practitioner (Women's Health)11275 SPRAGUE RD
DELTON, MI 49046
(269) 623-5150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215048384, enumerated in the NPI registry as an "organization" on August 31, 2006

The provider is located at 11275 Sprague Rd Delton, Mi 49046 and the phone number is (269) 623-7121

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

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 August 31, 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].
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.