USADC-3-MEADE
NPI 1558566125
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Meade, MD
NPI Status: Active since June 15, 2007
Contact Information
2480 LLEWELLYN AVE
USADC-3
FORT MEADE, MD
ZIP 20755
Phone: (301) 677-8800
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About USADC-3-MEADE
This page provides the complete NPI Profile along with additional information for Usadc-3-meade, a provider established in Fort Meade, Maryland operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1558566125 assigned on June 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Usadc-3-meade. The authorized official of this NPI record is Terri Kimbrow (Ubo Manager)
- NPI
- 1558566125
- Provider Legal Name
- KIMBROUGH ACC MILITARY MTF
- Other Organization Name
- USADC-3-MEADE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2480 LLEWELLYN AVE USADC-3 FORT MEADE, MD 20755
- Location Phone
- (301) 677-8800
- Mailing Address
- 2480 LLEWELLYN AVE CDR USAMEDDAC MCXR-BD STE 5800 FORT MEADE, MD 20755
- Mailing Phone
- (301) 677-8253
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-15-2007
- Last Update Date
- 04-01-2015
- Code Navigator
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 Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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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 | 5 | 8 | 5 | 6 | 6 | 1 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 10 | 6 | 12 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 0 + 6 + 1 + 2 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1558566125 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1194727131 | DR. ERIKA V. BARGER MD Individual | Family Medicine | 2480 LLEWELLYN AVE FORT GEORGE G MEADE, MD 20755 (301) 677-8179 |
| 1689664443 | MS. MARGUERITE ANNETTE MORRISON RN, BS, COHN-S Individual | Registered Nurse (Occupational Health) | 2480 LLEWELLYN AVE FT MEADE, MD 20755 (301) 677-8391 |
| 1104816974 | MS. JOAN D. TWIGG RN, BS, OHN Individual | Registered Nurse (Occupational Health) | 2480 LLEWELLYN AVE FT MEADE, MD 20755 (301) 677-8389 |
| 1346230125 | MR. TERRENCE JOHN HEIDENREITER RNC Individual | Nurse Practitioner (Women's Health) | 2480 LLEWELLYN AVE RED TEAM FT MEADE, MD 20755 (301) 677-8949 |
| 1730179284 | DR. SUSAN A DEMUTH M.D. Individual | Pediatrics | 2480 LLEWELLYN AVE FT MEADE, MD 20755 (301) 677-8641 |
| 1558351684 | MRS. CHUNHUI J KIM RN, BSN, COHN-S Individual | Registered Nurse (Occupational Health) | 2480 LLEWELLYN AVE FT MEADE, MD 20755 (301) 677-8390 |
| 1497746549 | MR. KENNETH M JOHNSON LPN Individual | Licensed Practical Nurse | 2480 LLEWELLYN AVE FT MEADE, MD 20755 (301) 677-8394 |
| 1104807320 | DR. LINDA L GEORGE M.D. Individual | Specialist | 2480 LLEWELLYN AVE FORT MEADE, MD 20755 (301) 677-8270 |
| 1164403853 | DR. MICHAEL DENNIS MAGUIRE M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CENTER FT MEADE, MD 20755 (301) 677-8270 |
| 1497736243 | MR. RANDY DANIEL MCDONALD CRNA Individual | Nurse Anesthetist, Certified Registered | 2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CENTER FT MEADE, MD 20755 (301) 677-8011 |
| 1508847849 | DR. DAVID R. MILLER PH.D. Individual | Psychologist (Clinical) | 2480 LLEWELLYN AVE FORT GEORGE MEADE, MD 20755 (301) 677-8449 |
| 1700868429 | DR. LISA OH LAUREL PHARM D Individual | Pharmacist | 2480 LLEWELLYN AVE FORT MEADE, MD 20755 (301) 677-8611 |
| 1790760072 | MR. NORMAN NOWAK BIRCHER PAC Individual | Physician Assistant (Medical) | 2480 LLEWELLYN AVE ATTN: MCXR-CR . KIMBROUGH AMBULATORY CARE CENTER FT MEADE, MD 20755 (301) 677-8270 |
| 1558346791 | DR. DONALD EDWARD POTTER M.D. Individual | Family Medicine | 2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CLINIC FT MEADE, MD 20755 (301) 677-8270 |
| 1720063803 | DR. MANJULA BASU M.D. Individual | Pediatrics | 2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CENTER FT MEADE, MD 20755 (301) 677-8270 |
| 1104801000 | KAREN B. CLEAVER FNP Individual | Nurse Practitioner (Family) | 2480 LLEWELLYN AVE FORT MEADE, MD 20755 (301) 677-8670 |
| 1689650244 | MR. JOHN CHRISTOPHER HUBBARD PAC Individual | Physician Assistant (Medical) | 2480 LLEWELLYN AVE FORT MEADE, MD 20755 (301) 677-8874 |
| 1255318010 | FERNANDO LUIS ORTIZ M.D Individual | Family Medicine | 2480 LLEWELLYN AVE FT MEADE, MD 20755 (301) 677-8270 |
| 1124006572 | ROSEMARIE DENNIS RUDDICK Individual | Physical Therapist | 2480 LLEWELLYN AVE FT MEADE, MD 20755 (301) 677-8466 |
| 1619947884 | MRS. DEIRDRE O'REILLY SMITH RN, ANP-C Individual | Nurse Practitioner (Adult Health) | 2480 LLEWELLYN AVE FT MEADE, MD 20755 (301) 677-8333 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558566125, enumerated in the NPI registry as an "organization" on June 15, 2007
The provider is located at 2480 Llewellyn Ave Usadc-3 Fort Meade, Md 20755 and the phone number is (301) 677-8800
This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient
This NPI record was last updated on June 15, 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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