GCMC PAIN CLINIC
NPI 1609390483
Anesthesiology - Pain Medicine in Grove City, PA

NPI Status: Active since August 02, 2017

Contact Information

631 N BROAD STREET EXT
GROVE CITY, PA
ZIP 16127
Phone: (724) 450-7000
Fax: (724) 450-7013

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  • Organization
  • Anesthesiology
  • Pain Medicine

About GCMC PAIN CLINIC

This page provides the complete NPI Profile along with additional information for Gcmc Pain Clinic, a provider established in Grove City, Pennsylvania operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1609390483 assigned on August 2017. The practitioner's primary taxonomy code is 207LP2900X with license number OS005324L (PA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Gcmc Pain Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Gcmc Pain Clinic. The authorized official of this NPI record is Mr. Robert C Jackson Jr. (Chief Executive Officer)

NPI
1609390483
Provider Legal Name
GROVE CITY MEDICAL CENTER
Other Organization Name
GCMC PAIN CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
631 N BROAD STREET EXT GROVE CITY, PA 16127
Location Phone
(724) 450-7000
Location Fax
(724) 450-7013
Mailing Address
631 N. BROAD STREET EXT. GROVE CITY, PA 16127
Mailing Phone
(724) 450-7000
Mailing Fax
(724) 450-7013
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2017
Last Update Date
08-02-2017
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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

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
OS005324L
License State
PA
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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)
1208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

OS005324L (PA)

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

MR. ROBERT C JACKSON JR.

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(724) 450-7197

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
0010895580018MEDICAID (05)PA 
401500OTHER (01)ISSUER

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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.
1609390483
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609690416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 6 + 9 + 0 + 4 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1609390483 is valid because the calculated check digit 3 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
1184616815GROVE CITY MEDICAL CENTER
Organization
Home Health631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7066
1982697231DR. JOHN H. ZABKAR M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7182
1538152889DR. ROBERT A. JANCART M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7182
1972596245MRS. MARY KATHLEEN MARKS CRNA
Individual
Nurse Anesthetist, Certified Registered631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7182
1043203391DR. FELIXBERTO G. MAMARIL M.D.
Individual
Emergency Medicine631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7182
1255371597GROVE CITY MEDICAL CENTER
Organization
Internal Medicine631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7000
1194823864GROVE CITY MEDICAL CENTER
Organization
Emergency Medicine631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7000
1013017763GROVE CITY MEDICAL CENTER
Organization
Pathology (Anatomic Pathology & Clinical Pathology)631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7000
1831254788GROVE CITY MEDICAL CENTER
Organization
Clinic/Center (Ambulatory Surgical)631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7000
1427379551GROVE CITY MEDICAL CENTER
Organization
General Acute Care Hospital631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 458-5442
1679565147GROVE CITY MEDICAL CENTER
Organization
Skilled Nursing Facility631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 458-5442
1740718477TRANSITIONAL CARE CENTER LP
Organization
Skilled Nursing Facility631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 458-5442
1083102750PINNACLE HEALTH SERVICES LLC
Organization
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 282-0755
1518973833DR. RONALD R. BALDERACH M.D.
Individual
Surgery631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7196
1679123350GROVE CITY MEDICAL CENTER
Organization
Surgery631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7119
1144867573GROVE CITY MEDICAL CENTER
Organization
General Acute Care Hospital631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 458-5442
1306874136DR. TAMARA L. W. PRICE M.D.
Individual
Internal Medicine631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7246
1679102289 DANIEL JACOB RODGERS PA-C
Individual
Physician Assistant631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7246
1629604541 NICOLENA VERARDI PA-C
Individual
Physician Assistant631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7246
1467445700MS. MARCIA C. ANDREWS CRNA
Individual
Nurse Anesthetist, Certified Registered631 N BROAD STREET EXT
GROVE CITY, PA 16127
(724) 450-7182

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609390483, enumerated in the NPI registry as an "organization" on August 02, 2017

The provider is located at 631 N Broad Street Ext Grove City, Pa 16127 and the phone number is (724) 450-7000

This medical organization specializes in Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine

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 August 02, 2017. 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.