SLOCUM DICKSON MEDICAL GROUP PLLC
NPI 1285625996
Clinic/Center in New Hartford, NY
NPI Status: Active since November 02, 2005
Contact Information
1729 BURRSTONE RD
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 798-1700
Fax: (315) 798-1707
- Organization
- Clinic/Center
- CLIA Number: 33D0987465
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 03-26-2027
About SLOCUM DICKSON MEDICAL GROUP PLLC
This page provides the complete NPI Profile along with additional information for Slocum Dickson Medical Group Pllc, a provider established in New Hartford, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1285625996 assigned on November 2005. The practitioner's primary taxonomy code is 261Q00000X with license number 47440 (NY). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Stephen D. Eadline Md (President)
- NPI
- 1285625996
- Provider Name
- SLOCUM DICKSON MEDICAL GROUP PLLC
- Entity Type
- Organization
- Location Address
- 1729 BURRSTONE RD NEW HARTFORD, NY 13413
- Location Phone
- (315) 798-1700
- Location Fax
- (315) 798-1707
- Mailing Address
- 1729 BURRSTONE RD NEW HARTFORD, NY 13413
- Mailing Phone
- (315) 798-1700
- Mailing Fax
- (315) 798-1707
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-02-2005
- Last Update Date
- 06-11-2021
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 47440
- License State
- NY
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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) |
|---|---|---|---|---|
| 1 | 291U00000X | Laboratories | Clinical Medical Laboratory |
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.
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 |
|---|---|---|---|
| 02995013 | MEDICAID (05) | NY |
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
- 33D0987465
- Facility Type
- Independent
- Certificate Effective Date
- June 05, 2001
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- SYED ZAMAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Slocum Dickson Medical Group Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 2 | 5 | 9 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 2 | 10 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 2 + 1 + 0 + 9 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1285625996 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538162789 | CHRISTOPHER M ALINEA MD Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1356333801 | DR. SIDNEY J BLATT Individual | Internal Medicine (Cardiovascular Disease) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1508 |
| 1265424626 | DR. JAMES M CIMO M.D. Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1831 |
| 1417949819 | DR. GUNNAR H ANDERSON M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1668 |
| 1831182542 | DR. BRUNO I APLOKS M.D. Individual | Otolaryngology | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1295728939 | MS. MICHELLE L CHAMBRONE NP Individual | Nurse Practitioner | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1265426480 | DR. GEORGE K TOMY M.D. Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1417941634 | DR. DANA M ZACHAREWICZ M.D. Individual | Radiology (Nuclear Radiology) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1063406171 | DR. MARK E. BLAKER M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1417941527 | DR. WILLIAM D FUCHS M.D. Individual | Pediatrics | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1770577884 | DR. THOMAS JOHN M.D. Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1808 |
| 1780678995 | DR. POURUSHASP J DHABHAR M.D. Individual | Allergy & Immunology | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1861486078 | DR. CARL L KRASNIAK M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1770577983 | DR. M. DOUGLAS KRUMPHOLZ M.D. Individual | Otolaryngology | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1679567887 | DR. THANG Q LE M.D. Individual | Internal Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1588658793 | DR. DANA LEVI M.D. Individual | Radiology (Nuclear Radiology) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1114911336 | DR. JOSEPH I RAJ M.D. Individual | Family Medicine | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1669466884 | DR. SULTANA RAZIA M.D. Individual | Internal Medicine (Hematology & Oncology) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1477547693 | DR. NAEEM SAMAD MD Individual | Urology | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
| 1649264862 | DR. ALLAN M. SMILEY M.D. Individual | Internal Medicine (Rheumatology) | 1729 BURRSTONE RD NEW HARTFORD, NY 13413 (315) 798-1700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285625996, enumerated in the NPI registry as an "organization" on November 02, 2005
The provider is located at 1729 Burrstone Rd New Hartford, Ny 13413 and the phone number is (315) 798-1700
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
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.
The provider's CLIA number is 33D0987465 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 02, 2005. 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.