GEAUGA SPORTS MEDICINE
NPI 1699834390
Emergency Medicine - Sports Medicine in Auburn, OH

NPI Status: Active since December 08, 2006

Contact Information

11800 E WASHINGTON ST
AUBURN, OH
ZIP 44023
Phone: (440) 285-6452

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  • Organization
  • Emergency Medicine
  • Sports Medicine

About GEAUGA SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Geauga Sports Medicine, a provider established in Auburn, Ohio operating as a Emergency Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1699834390 assigned on December 2006. The practitioner's primary taxonomy code is 207PS0010X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Geauga Sports Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Michael Kellis Do (President)

NPI
1699834390
Provider Name
GEAUGA SPORTS MEDICINE
Entity Type
Organization
Location Address
11800 E WASHINGTON ST AUBURN, OH 44023
Location Phone
(440) 285-6452
Mailing Address
11800 E WASHINGTON ST AUBURN, OH 44023
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2006
Last Update Date
01-13-2009
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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

Emergency Medicine Sports Medicine

Taxonomy Code
207PS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

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)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 

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.

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

MICHAEL KELLIS DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(440) 285-1796

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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.
1699834390
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891638318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 6 + 3 + 8 + 3 + 1 + 8 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1699834390 is valid because the calculated check digit 0 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
1952570905PRECISION ORTHOPAEDIC SPECIALTIES, INC.
Organization
Orthopaedic Surgery11800 E WASHINGTON ST
AUBURN TOWNSHIP, OH 44023
(440) 285-4999

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699834390, enumerated in the NPI registry as an "organization" on December 08, 2006

The provider is located at 11800 E Washington St Auburn, Oh 44023 and the phone number is (440) 285-6452

This medical organization specializes in Emergency Medicine with taxonomy code 207PS0010X with a focus in Sports Medicine

This NPI record was last updated on December 08, 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.