COLLABORATIVE GERIATRICS, INC.
NPI 1629004221
Family Medicine - Geriatric Medicine in Milton, WV

NPI Status: Active since June 24, 2006

Contact Information

414 MAHOGANYWOOD DR
MILTON, WV
ZIP 25541
Phone: (304) 743-8007
Fax: (304) 743-1704

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  • Organization
  • Family Medicine
  • Geriatric Medicine

About COLLABORATIVE GERIATRICS, INC.

This page provides the complete NPI Profile along with additional information for Collaborative Geriatrics, Inc., a primary care provider established in Milton, West Virginia operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1629004221 assigned on June 2006. The practitioner's primary taxonomy code is 207QG0300X with license number 14713 (WV). The provider is registered as an organization and their NPI record was last updated 5 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 Courtney Brooke Taylor (Administrative Assistant)

NPI
1629004221
Provider Name
COLLABORATIVE GERIATRICS, INC.
Entity Type
Organization
Location Address
414 MAHOGANYWOOD DR MILTON, WV 25541
Location Phone
(304) 743-8007
Location Fax
(304) 743-1704
Mailing Address
PO BOX 979 CULLODEN, WV 25510
Mailing Phone
(304) 743-8007
Mailing Fax
(304) 743-1704
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Collaborative Geriatrics, Inc. 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 Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
License No.
14713
License State
WV
Taxonomy Description
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

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)
1207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

21327 (WV)
2207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

1601 (WV)
3207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

20005 (WV)

Group Taxonomy 193400000X MULTIPLE 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.

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

COURTNEY BROOKE TAYLOR

Authorized Official Title
ADMINISTRATIVE ASSISTANT
Authorized Official Phone
(304) 743-8007

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
0040807000MEDICAID (05)WV 

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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.
1629004221
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264900824
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 0 + 0 + 8 + 2 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1629004221 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629004221, enumerated in the NPI registry as an "organization" on June 24, 2006

The provider is located at 414 Mahoganywood Dr Milton, Wv 25541 and the phone number is (304) 743-8007

This medical organization specializes in Family Medicine with taxonomy code 207QG0300X with a focus in Geriatric 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 June 24, 2006. 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.