CARDIO CARE PC
NPI 1245404433
Legal Medicine in Jackson, TN

NPI Status: Active since April 17, 2008

Contact Information

168 W UNIVERSITY PKWY STE C
JACKSON, TN
ZIP 38305
Phone: (731) 512-3812
Fax: (731) 512-3813

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  • Organization
  • Legal Medicine

About CARDIO CARE PC

This page provides the complete NPI Profile along with additional information for Cardio Care Pc, a provider established in Jackson, Tennessee operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1245404433 assigned on April 2008. The practitioner's primary taxonomy code is 173000000X with license number 25230 (TN). 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 Dr. Mabbu Jayakumar Md (Owner)

NPI
1245404433
Provider Name
CARDIO CARE PC
Entity Type
Organization
Location Address
168 W UNIVERSITY PKWY STE C JACKSON, TN 38305
Location Phone
(731) 512-3812
Location Fax
(731) 512-3813
Mailing Address
PO BOX 12484 JACKSON, TN 38308
Mailing Phone
(731) 512-3812
Mailing Fax
(731) 512-3813
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2008
Last Update Date
04-17-2008
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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

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
25230
License State
TN
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Group Taxonomy 193400000X MULTIPLE 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

DR. MABBU JAYAKUMAR MD

Authorized Official Title
OWNER
Authorized Official Phone
(731) 512-3812

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
3080693MEDICARE PIN (08)TN 
A10318MEDICARE UPIN (02) 

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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.
1245404433
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228580846
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 8 + 0 + 8 + 4 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1245404433 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063425734DR. MABBU JAYAKUMAR MD
Individual
Internal Medicine (Cardiovascular Disease)168 W UNIVERSITY PKWY STE C
JACKSON, TN 38305
(731) 512-3812
1609337575 CHRISTINA JORGE
Individual
Nurse Practitioner (Family)168 W UNIVERSITY PKWY STE C
JACKSON, TN 38305
(731) 300-0810
1306585963 SCARLETT P HENLEY CMHC
Individual
Counselor (Mental Health)168 W UNIVERSITY PKWY STE C
JACKSON, TN 38305
(731) 660-0199

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245404433, enumerated in the NPI registry as an "organization" on April 17, 2008

The provider is located at 168 W University Pkwy Ste C Jackson, Tn 38305 and the phone number is (731) 512-3812

This medical organization specializes in Legal Medicine with taxonomy code 173000000X

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 April 17, 2008. 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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