PREVENTIVE MEDICINE GROUP
NPI 1366642498
General Practice in Westlake, OH

NPI Status: Active since July 18, 2007

Contact Information

24700 CENTER RIDGE RD
WESTLAKE, OH
ZIP 44145
Phone: (440) 835-0104
Fax: (440) 835-2177

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  • Organization
  • General Practice

About PREVENTIVE MEDICINE GROUP

This page provides the complete NPI Profile along with additional information for Preventive Medicine Group, a primary care provider established in Westlake, Ohio operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1366642498 assigned on July 2007. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Preventive Medicine Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Preventive Medicine Group. The authorized official of this NPI record is Susan Ann Wenger (Manager)

NPI
1366642498
Provider Legal Name
JAMES P. FRACKELTON, MD, INC
Other Organization Name
PREVENTIVE MEDICINE GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
24700 CENTER RIDGE RD WESTLAKE, OH 44145
Location Phone
(440) 835-0104
Location Fax
(440) 835-2177
Mailing Address
24700 CENTER RIDGE RD WESTLAKE, OH 44145
Mailing Phone
(440) 835-0104
Mailing Fax
(440) 835-2177
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2007
Last Update Date
07-18-2007
Code Navigator

A primary care provider (PCP) like Preventive Medicine Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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:

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

SUSAN ANN WENGER

Authorized Official Title
MANAGER
Authorized Official Phone
(440) 835-2150

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
PR9238811MEDICARE PIN (08)OH 

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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.
1366642498
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261244418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 2 + 4 + 4 + 4 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1366642498 is valid because the calculated check digit 8 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
1205989357DR. RICHARD JOSEPH BALLAS D.D.S.
Individual
Dentist (General Practice)24700 CENTER RIDGE RD
WESTLAKE, OH 44145
(440) 871-0550
1033257258 JOHN MICHAEL TELZROW PHD
Individual
Psychologist24700 CENTER RIDGE RD SUITE 314
WESTLAKE, OH 44145
(440) 871-2121
1134273808KING JAMES MEDICAL LABORATORY INC
Organization
Clinical Medical Laboratory24700 CENTER RIDGE RD SUITE 113
WESTLAKE, OH 44145
(440) 835-2150
1427064567 JAMES WILLIAM MOODT D.M.D.
Individual
Dentist24700 CENTER RIDGE RD ONE KING JAMES SOUTH, SUITE #19
WESTLAKE, OH 44145
(440) 871-7979

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366642498, enumerated in the NPI registry as an "organization" on July 18, 2007

The provider is located at 24700 Center Ridge Rd Westlake, Oh 44145 and the phone number is (440) 835-0104

This medical organization specializes in General Practice with taxonomy code 208D00000X

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.

This NPI record was last updated on July 18, 2007. 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.