HENDERSON PEDIATRICS, LLP
NPI 1518154491
Pediatrics in Henderson, NV

NPI Status: Active since September 25, 2007

Contact Information

220 E HORIZON DR STE A
HENDERSON, NV
ZIP 89015
Phone: (702) 566-0333
Fax: (702) 566-0315

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  • Organization
  • Pediatrics
  • CLIA Number: 29D0963198
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-25-2025

About HENDERSON PEDIATRICS, LLP

This page provides the complete NPI Profile along with additional information for Henderson Pediatrics, Llp, a pediatrician established in Henderson, Nevada operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1518154491 assigned on September 2007. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 18 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. Marcy A. Kulic M.d. (Physician)

NPI
1518154491
Provider Name
HENDERSON PEDIATRICS, LLP
Entity Type
Organization
Location Address
220 E HORIZON DR STE A HENDERSON, NV 89015
Location Phone
(702) 566-0333
Location Fax
(702) 566-0315
Mailing Address
220 E HORIZON DR STE A HENDERSON, NV 89015
Mailing Phone
(702) 566-0333
Mailing Fax
(702) 566-0315
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2007
Last Update Date
10-04-2007
Code Navigator

A pediatrician like Henderson Pediatrics, Llp is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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.

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. MARCY A. KULIC M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(702) 566-0333

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
29D0963198
Facility Type
Physician Office
Certificate Effective Date
July 26, 2023
Certificate Expiration Date
July 25, 2025
Laboratory Director
MARCY A. KULIC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Henderson Pediatrics, Llp 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.
1518154491
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528258418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 2 + 5 + 8 + 4 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1518154491 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659457935MR. MICHAEL L. LEVIN M.D.
Individual
Pediatrics (Adolescent Medicine)220 E HORIZON DR STE A
HENDERSON, NV 89015
(702) 566-0333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518154491, enumerated in the NPI registry as an "organization" on September 25, 2007

The provider is located at 220 E Horizon Dr Ste A Henderson, Nv 89015 and the phone number is (702) 566-0333

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider's CLIA number is 29D0963198 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 September 25, 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].
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