PARADISE VALLEY MEDICAL CLINIC PC
NPI 1326470501
Internal Medicine in Scottsdale, AZ

NPI Status: Active since July 30, 2013

Contact Information

9977 N 90TH ST
STE 180
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 614-5800
Fax: (480) 614-6322

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  • Organization
  • Internal Medicine
  • CLIA Number: 03D0963700
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-04-2025

About PARADISE VALLEY MEDICAL CLINIC PC

This page provides the complete NPI Profile along with additional information for Paradise Valley Medical Clinic Pc, an internist established in Scottsdale, Arizona operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1326470501 assigned on July 2013. The practitioner's primary taxonomy code is 207R00000X with license number 19362 (AZ). The provider is registered as an organization and their NPI record was last updated 3 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. Douglas M Lakin M.d. (Physician)

NPI
1326470501
Provider Name
PARADISE VALLEY MEDICAL CLINIC PC
Entity Type
Organization
Location Address
9977 N 90TH ST STE 180 SCOTTSDALE, AZ 85258
Location Phone
(480) 614-5800
Location Fax
(480) 614-6322
Mailing Address
9977 N 90TH ST STE 180 SCOTTSDALE, AZ 85258
Mailing Phone
(480) 614-5800
Mailing Fax
(480) 614-6322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2013
Last Update Date
03-07-2023
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An internist like Paradise Valley Medical Clinic Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
19362
License State
AZ
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

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. DOUGLAS M LAKIN M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(480) 614-5800

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
19362OTHER (01)AZSTATE MEDICAL LISCENSE

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
03D0963700
Facility Type
Physician Office
Certificate Effective Date
August 05, 2023
Certificate Expiration Date
August 04, 2025
Laboratory Director
DOUGLAS M. LAKIN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Paradise Valley Medical Clinic Pc 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.
1326470501
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
234687050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 8 + 7 + 0 + 5 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1326470501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154762581STUTMAN PLASTIC SURGERY PC
Organization
Plastic Surgery9977 N 90TH ST STE 178
SCOTTSDALE, AZ 85258
(480) 488-3388
1497830624MR. ROBERT ARTHUR MOUNT MSW, LCSW
Individual
Social Worker (Clinical)9977 N 90TH ST STE 165
SCOTTSDALE, AZ 85258
(847) 682-9717
1326015728 ELENA SIBLEY MD
Individual
Surgery9977 N 90TH ST STE 178
SCOTTSDALE, AZ 85258
(480) 947-7401
1992783492DR. DOUGLAS M. LAKIN M.D.
Individual
Internal Medicine9977 N 90TH ST #180
SCOTTSDALE, AZ 85258
(480) 614-5800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326470501, enumerated in the NPI registry as an "organization" on July 30, 2013

The provider is located at 9977 N 90th St Ste 180 Scottsdale, Az 85258 and the phone number is (480) 614-5800

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

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 03D0963700 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 July 30, 2013. 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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