ELDERHEALTH PLLC
NPI 1336746692
Internal Medicine - Geriatric Medicine in Oro Valley, AZ

NPI Status: Active since October 08, 2020

Contact Information

1846 E INNOVATION PARK DR
ORO VALLEY, AZ
ZIP 85755
Phone: (520) 329-2699

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  • Organization
  • Internal Medicine
  • Geriatric Medicine
  • Accepts Insurance
  • CLIA Number: 03D2211159
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 01-25-2027

About ELDERHEALTH PLLC

This page provides the complete NPI Profile along with additional information for Elderhealth Pllc, an internist established in Oro Valley, Arizona operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1336746692 assigned on October 2020. The practitioner's primary taxonomy code is 207RG0300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Elderhealth Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Corinne Self Md (Founder)

NPI
1336746692
Provider Name
ELDERHEALTH PLLC
Entity Type
Organization
Location Address
1846 E INNOVATION PARK DR ORO VALLEY, AZ 85755
Location Phone
(520) 329-2699
Mailing Address
1846 E INNOVATION PARK DR ORO VALLEY, AZ 85755
Mailing Phone
(520) 829-9987
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2020
Last Update Date
09-02-2021
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An internist like Elderhealth Pllc 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 Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3363LG0600XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Gerontology

 
4363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*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. CORINNE SELF MD

Authorized Official Title
FOUNDER
Authorized Official Phone
(520) 829-9987

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
03D2211159
Facility Type
Practitioner Other
Certificate Effective Date
January 26, 2025
Certificate Expiration Date
January 25, 2027
Laboratory Director
CORINNE M. SELF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elderhealth Pllc 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.

Reviews for ELDERHEALTH PLLC

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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.
1336746692
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236614412618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 4 + 1 + 2 + 6 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1336746692 is valid because the calculated check digit 2 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
1013125780 JOHN TSANADIS PHD
Individual
Clinical Neuropsychologist1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 780-4329
1962888198 AMANDA J PARTIDA
Individual
Technician, Other (EEG)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 333-7190
1093184236 ASHLY RATH
Individual
Developmental Therapist1846 E INNOVATION PARK DR ST 100
ORO VALLEY, AZ 85755
(520) 318-5400
1013366657 JONATHAN ASH
Individual
Specialist/Technologist, Other1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 333-7190
1710442447 CASEY WILKI
Individual
Specialist/Technologist, Other (Electroneurodiagnostic)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 333-7190
1992266225GO DOC, LLC
Organization
Clinic/Center (Urgent Care)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(833) 862-6415
1902410715BRAIN AND BODY CONNECTIONS
Organization
Nurse Practitioner (Psychiatric/Mental Health)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(877) 366-5716
1043882863 TARA S LIWSKI MS, RDN
Individual
Dietitian, Registered1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 477-1650
1265083802 VICKIE ANDERSON PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 771-0555
1255629762DR. CORINNE M SELF M.D.
Individual
Internal Medicine1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 829-9987
1528663150MRS. CARLA D SMITH PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 771-0555
1982170783 SAMANTHA KINGMA MS, LMFT
Individual
Marriage & Family Therapist1846 E INNOVATION PARK DR STE 100
ORO VALLEY, AZ 85755
(602) 844-9801
1598496622 GILLIAN MARINA RUIZ RD
Individual
Dietitian, Registered1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 477-1650
1114643905DYNASTY OF SELAH INTEGRATED HEALTH SERVICES PLLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(770) 231-3593
1124800834FALCON INTEGRATED MENTAL HEALTHCARE LLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(646) 643-9915
1245849231NSD MENTAL HEALTH SERVICES
Organization
Nurse Practitioner (Psychiatric/Mental Health)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(888) 260-5687
1679355549MRS. CARLEY LINN BAGHAI DNP, PMHNP-BC, APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(425) 306-1392
1811512387WILSON, LEIGH & ASSOCIATES LLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 771-0555
1043036122ADVANCED HOME HEALTH AGENCY
Organization
Home Health1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(334) 476-5407
1649882929 NAOMI MENDOZA EALY PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1846 E INNOVATION PARK DR
ORO VALLEY, AZ 85755
(520) 771-0555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336746692, enumerated in the NPI registry as an "organization" on October 08, 2020

The provider is located at 1846 E Innovation Park Dr Oro Valley, Az 85755 and the phone number is (520) 329-2699

This medical organization specializes in Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D2211159 for a "practitioner other" 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 October 08, 2020. 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.