SANDRA WIEDERHOLD MD
NPI 1275643223
Pediatrics in Portage, MI

NPI Status: Active since August 30, 2006

Contact Information

670 MALL DR
PORTAGE, MI
ZIP 49024
Phone: (269) 327-1900

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  • Individual
  • Female
  • Pediatrics

About SANDRA WIEDERHOLD

This page provides the complete NPI Profile along with additional information for Sandra Wiederhold, a pediatrician established in Portage, Michigan with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1275643223 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X with license number 4301050967 (MI). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1275643223
Provider Name
SANDRA WIEDERHOLD MD
Gender
Female
Entity Type
Individual
Location Address
670 MALL DR PORTAGE, MI 49024
Location Phone
(269) 327-1900
Mailing Address
1000 OAKLAND DR KALAMAZOO, MI 49008
Is Sole Proprietor?
No
Enumeration Date
08-30-2006
Last Update Date
10-09-2018
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A pediatrician like Sandra Wiederhold is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
4301050967
License State
MI
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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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.
1275643223
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145124624
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 4 + 6 + 2 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1275643223 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437129095 DAVID L OHMART M.D.
Individual
Pediatrics670 MALL DR
PORTAGE, MI 49024
(269) 327-1900
1952371593 STEPHEN R LULL M.D.
Individual
Pediatrics670 MALL DR
PORTAGE, MI 49024
(269) 327-1900
1649240292 MARK A BLAZEK M.D.
Individual
Pediatrics670 MALL DR
PORTAGE, MI 49024
(269) 327-1900
1801867106 KATHLEEN L LEMMEN M.D.
Individual
Pediatrics670 MALL DR
PORTAGE, MI 49024
(269) 327-1900
1639177983 ANN PATRICE SHEEHAN DNP, CPNP
Individual
Nurse Practitioner (Pediatrics)670 MALL DR
PORTAGE, MI 49024
(269) 327-1900
1619317955 NATALIE M BEHRLE MD
Individual
Pediatrics670 MALL DR
PORTAGE, MI 49024
(269) 327-1900
1265421069PEDIATRICS PC
Organization
Pediatrics670 MALL DR
PORTAGE, MI 49024
(269) 327-1900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275643223, enumerated in the NPI registry as an "individual" on August 30, 2006

The provider is located at 670 Mall Dr Portage, Mi 49024 and the phone number is (269) 327-1900

The provider's speciality is Pediatrics with taxonomy code 208000000X

This NPI record was last updated on August 30, 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].
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