SOUTHERN WELLCARE MEDICAL PC
NPI 1396090932
Family Medicine in Bronx, NY

NPI Status: Active since July 19, 2012

Contact Information

2336 GRAND CONCOURSE
BRONX, NY
ZIP 10458
Phone: (718) 907-0195

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  • Organization
  • Family Medicine

About SOUTHERN WELLCARE MEDICAL PC

This page provides the complete NPI Profile along with additional information for Southern Wellcare Medical Pc, a primary care provider established in Bronx, New York operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1396090932 assigned on July 2012. The practitioner's primary taxonomy code is 207Q00000X with license number 228243 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. Southern Wellcare Medical Pc 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 Svetlana Khandros D.o. (President)

NPI
1396090932
Provider Name
SOUTHERN WELLCARE MEDICAL PC
Entity Type
Organization
Location Address
2336 GRAND CONCOURSE BRONX, NY 10458
Location Phone
(718) 907-0195
Mailing Address
2336 GRAND CONCOURSE BRONX, NY 10458
Mailing Phone
(718) 220-0439
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2012
Last Update Date
10-17-2019
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A primary care provider (PCP) like Southern Wellcare Medical Pc 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
228243
License State
NY
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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

SVETLANA KHANDROS D.O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(718) 220-0439

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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.
1396090932
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2318609096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 9 + 0 + 9 + 6 + 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 1396090932 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 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811241631GRAND CONCOURSE HEALTH WELLNESS MEDICAL, PC
Organization
Internal Medicine2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439
1629319108PLANET PHARMACY LLC
Organization
Pharmacy2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-2035
1043505522PINNACLE DENTAL CARE P.C.
Organization
Dentist2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439
1629486600BRONX FAMILY EYE CARE INC
Organization
Optometrist (Corneal and Contact Management)2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439
1942576434 ALLA GIZERSKAYA DMD
Individual
Dentist (General Practice)2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439
1184011728 MARIA A. MUNIZ D.D.S
Individual
Dentist (General Practice)2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439
1851848618WELLCARE OF BX MEDICAL PC
Organization
Family Medicine2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439
1417469263MR. TANGING D SHERPA PA
Individual
Physician Assistant2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439
1598006660MS. PHELAN ANTONIA CLANCY A.N.P
Individual
Nurse Practitioner (Adult Health)2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439
1235845009URBAN MEDICAL SERVICES OF BX PC
Organization
Family Medicine2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439
1497151476 SHIRLEY CARLOS-CU NP-C
Individual
Nurse Practitioner (Adult Health)2336 GRAND CONCOURSE
BRONX, NY 10458
(718) 220-0439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396090932, enumerated in the NPI registry as an "organization" on July 19, 2012

The provider is located at 2336 Grand Concourse Bronx, Ny 10458 and the phone number is (718) 907-0195

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on July 19, 2012. 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.