PREMIER CARE PEDIATRICS
NPI 1285103135
Clinic/Center - Multi-Specialty in Cortland, OH

NPI Status: Active since November 21, 2018

Contact Information

2642 STATE ROUTE 5
CORTLAND, OH
ZIP 44410
Phone: (330) 841-5500
Fax: (330) 884-6120

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About PREMIER CARE PEDIATRICS

This page provides the complete NPI Profile along with additional information for Premier Care Pediatrics, a provider established in Cortland, Ohio operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1285103135 assigned on November 2018. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Premier Care Pediatrics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. 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 Premier Care Pediatrics. The authorized official of this NPI record is Ronald Dwinnells Md (Ceo)

NPI
1285103135
Provider Legal Name
OHIO NORTH EAST HEALTH SYSTEMS, INC
Other Organization Name
PREMIER CARE PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2642 STATE ROUTE 5 CORTLAND, OH 44410
Location Phone
(330) 841-5500
Location Fax
(330) 884-6120
Mailing Address
726 WICK AVE YOUNGSTOWN, OH 44505
Mailing Phone
(330) 747-9551
Mailing Fax
(330) 884-6120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2018
Last Update Date
10-15-2024
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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)
1207QA0000XAllopathic & Osteopathic Physicians

Family Medicine
Adolescent Medicine

 
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
3261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
4261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

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.

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

RONALD DWINNELLS MD

Authorized Official Title
CEO
Authorized Official Phone
(330) 747-9551

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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.
1285103135
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216520616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 0 + 6 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1285103135 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376012393OHIO NORTH EAST HEALTH SYSTEMS, INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2642 STATE ROUTE 5
CORTLAND, OH 44410
(330) 841-5500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285103135, enumerated in the NPI registry as an "organization" on November 21, 2018

The provider is located at 2642 State Route 5 Cortland, Oh 44410 and the phone number is (330) 841-5500

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on November 21, 2018. 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.