MOVEMENT DISORDERS CENTER OF ARIZONA LLC
NPI 1295050409
Psychiatry & Neurology - Neurology in Surprise, AZ
NPI Status: Active since March 30, 2010
Contact Information
13945 W GRAND AVE
SUITE 102
SURPRISE, AZ
ZIP 85374
Phone: (480) 526-5441
Fax: (480) 526-5443
- Organization
- Psychiatry & Neurology
- Neurology
- CLIA Number: 03D2068137
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-27-2025
About MOVEMENT DISORDERS CENTER OF ARIZONA LLC
This page provides the complete NPI Profile along with additional information for Movement Disorders Center Of Arizona Llc, a provider established in Surprise, Arizona operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1295050409 assigned on March 2010. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 13 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. Virgilio Gerald Hilario Evidente M.d. (Sole Member)
- NPI
- 1295050409
- Provider Name
- MOVEMENT DISORDERS CENTER OF ARIZONA LLC
- Entity Type
- Organization
- Location Address
- 13945 W GRAND AVE SUITE 102 SURPRISE, AZ 85374
- Location Phone
- (480) 526-5441
- Location Fax
- (480) 526-5443
- Mailing Address
- 10635 N 140TH WAY SCOTTSDALE, AZ 85259
- Mailing Phone
- (480) 526-5449
- Mailing Fax
- (480) 526-5443
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-30-2010
- Last Update Date
- 05-02-2012
- 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
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Group Taxonomy 193400000X 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.
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
- 03D2068137
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2023
- Certificate Expiration Date
- October 27, 2025
- Laboratory Director
- VIRGILIO G H. EVIDENTE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Movement Disorders Center Of Arizona 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. | |||||||||
| 1 | 2 | 9 | 5 | 0 | 5 | 0 | 4 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 0 | 5 | 0 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 0 + 5 + 0 + 4 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1295050409 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821293580 | GENERATIONS FAMILY MEDICINE PC Organization | Preferred Provider Organization | 13945 W GRAND AVE SUITE A-101 SURPRISE, AZ 85374 (623) 537-5170 |
| 1114946621 | DR. BARBARA KAROLINA BIALOWOLSKA-ROMANIUK M.D. Individual | Internal Medicine | 13945 W GRAND AVE SUITE A-105 SURPRISE, AZ 85374 (623) 546-0007 |
| 1679706923 | BESTCARE INTERNAL MEDICINE, PLLC Organization | Internal Medicine | 13945 W GRAND AVE SUITE A-105 SURPRISE, AZ 85374 (623) 546-0007 |
| 1740585272 | MS. LORRAINE STEVENS P.A. Individual | Physician Assistant (Medical) | 13945 W GRAND AVE SUITE 105 SURPRISE, AZ 85374 (623) 546-0007 |
| 1326068255 | ANTONIO V. YU JR., M.D.,P.C. Organization | Internal Medicine | 13945 W GRAND AVE SUITE A 102 SURPRISE, AZ 85374 (623) 556-2252 |
| 1275622532 | DR. BRIAN O BAIRD O. D. Individual | Optometrist | 13945 W GRAND AVE SUITE A101 SURPRISE, AZ 85374 (623) 931-2943 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295050409, enumerated in the NPI registry as an "organization" on March 30, 2010
The provider is located at 13945 W Grand Ave Suite 102 Surprise, Az 85374 and the phone number is (480) 526-5441
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
The provider's CLIA number is 03D2068137 for a "physician office" 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 March 30, 2010. 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.