BOOKER T WASHINGTON TELEMEDICINE
NPI 1528534062
Clinic/Center - Student Health in Baltimore, MD
NPI Status: Active since October 23, 2018
Contact Information
1301 MCCULLOH ST
BALTIMORE, MD
ZIP 21217
Phone: (410) 396-7734
- Organization
- Clinic/Center
- Student Health
- CLIA Number: 21D2228135
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 06-21-2025
About BOOKER T WASHINGTON TELEMEDICINE
This page provides the complete NPI Profile along with additional information for Booker T Washington Telemedicine, a primary care provider established in Baltimore, Maryland operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1528534062 assigned on October 2018. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 2 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 provider's other name is Booker T Washington Telemedicine. The authorized official of this NPI record is Tyrone Alonzo Chapman (Billing & Revenue Mgr.)
- NPI
- 1528534062
- Provider Legal Name
- MAYOR AND CITY COUNCIL OF BALTIMORE
- Other Organization Name
- BOOKER T WASHINGTON TELEMEDICINE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1301 MCCULLOH ST BALTIMORE, MD 21217
- Location Phone
- (410) 396-7734
- Mailing Address
- 1001 E FAYETTE ST BALTIMORE, MD 21202
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-23-2018
- Last Update Date
- 10-03-2023
- Code Navigator
A primary care provider (PCP) like Booker T Washington Telemedicine 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
Clinic/Center Student Health
- Taxonomy Code
- 261QS1000X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 2 | 261QP0905X | Ambulatory Health Care Facilities | Clinic/Center |
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.
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
- 21D2228135
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- June 22, 2023
- Certificate Expiration Date
- June 21, 2025
- Laboratory Director
- DR. TAMARA GREEN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Booker T Washington Telemedicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 5 | 2 | 8 | 5 | 3 | 4 | 0 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 10 | 3 | 8 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 0 + 3 + 8 + 0 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1528534062 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942766431 | TAHIRA ROOKS LCSW-C Individual | Social Worker (Clinical) | 1301 MCCULLOH ST BALTIMORE, MD 21217 (443) 562-6385 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528534062, enumerated in the NPI registry as an "organization" on October 23, 2018
The provider is located at 1301 Mcculloh St Baltimore, Md 21217 and the phone number is (410) 396-7734
This medical organization specializes in Clinic/Center with taxonomy code 261QS1000X with a focus in Student Health
The provider's CLIA number is 21D2228135 for a "school/student health service" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on October 23, 2018. 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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