ALPHAMED CHANDLER LLC
NPI 1225770456
Family Medicine - Sports Medicine in Chandler, AZ

NPI Status: Active since April 08, 2022

Contact Information

4949 S ARIZONA AVE STE 4
CHANDLER, AZ
ZIP 85248
Phone: (480) 847-2225

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  • Organization
  • Family Medicine
  • Sports Medicine
  • CLIA Number: 03D2263462
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 06-27-2026

About ALPHAMED CHANDLER LLC

This page provides the complete NPI Profile along with additional information for Alphamed Chandler Llc, a primary care provider established in Chandler, Arizona operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1225770456 assigned on April 2022. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Alphamed Chandler Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Matt Overlin Pa-c (Owner/provider)

NPI
1225770456
Provider Name
ALPHAMED CHANDLER LLC
Entity Type
Organization
Location Address
4949 S ARIZONA AVE STE 4 CHANDLER, AZ 85248
Location Phone
(480) 847-2225
Mailing Address
4949 S ARIZONA AVE STE 4 CHANDLER, AZ 85248
Mailing Phone
(480) 847-2225
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-08-2022
Last Update Date
04-08-2022
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A primary care provider (PCP) like Alphamed Chandler Llc 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 Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MATT OVERLIN PA-C

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(602) 689-9588

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
03D2263462
Facility Type
Other - URGENT CARE
Certificate Effective Date
June 28, 2024
Certificate Expiration Date
June 27, 2026
Laboratory Director
KELSIE MANDRELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Alphamed Chandler 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.
1225770456
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22451470410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 1 + 4 + 7 + 0 + 4 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1225770456 is valid because the calculated check digit 6 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 1225770456, enumerated in the NPI registry as an "organization" on April 08, 2022

The provider is located at 4949 S Arizona Ave Ste 4 Chandler, Az 85248 and the phone number is (480) 847-2225

This medical organization specializes in Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine

The provider's CLIA number is 03D2263462 for a "other - urgent care" 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 April 08, 2022. 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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