JUSTIN P. MIKULA, M.D., INC.
NPI 1750487542
Internal Medicine in Warren, OH
NPI Status: Active since September 16, 2006
Contact Information
1615 N RIVER RD NE
SUITE 1
WARREN, OH
ZIP 44483
Phone: (330) 372-2333
Fax: (330) 373-1111
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 36D1047747
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-13-2025
About JUSTIN P. MIKULA, M.D., INC.
This page provides the complete NPI Profile along with additional information for Justin P. Mikula, M.d., Inc., an internist established in Warren, Ohio operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1750487542 assigned on September 2006. The practitioner's primary taxonomy code is 207R00000X with license number 35-084818 (OH). 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 Dr. Justin P Mikula M.d. (President)
- NPI
- 1750487542
- Provider Name
- JUSTIN P. MIKULA, M.D., INC.
- Entity Type
- Organization
- Location Address
- 1615 N RIVER RD NE SUITE 1 WARREN, OH 44483
- Location Phone
- (330) 372-2333
- Location Fax
- (330) 373-1111
- Mailing Address
- 1615 N RIVER RD NE SUITE 1 WARREN, OH 44483
- Mailing Phone
- (330) 372-2333
- Mailing Fax
- (330) 373-1111
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2006
- Last Update Date
- 01-31-2020
- Code Navigator
An internist like Justin P. Mikula, M.d., Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35-084818
- License State
- OH
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 36D1047747
- Facility Type
- Physician Office
- Certificate Effective Date
- November 14, 2023
- Certificate Expiration Date
- November 13, 2025
- Laboratory Director
- JUSTIN P. MIKULA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Justin P. Mikula, M.d., Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 7 | 5 | 0 | 4 | 8 | 7 | 5 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 8 | 14 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 8 + 1 + 4 + 5 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1750487542 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467706457 | LISA A. WHITE N.P. Individual | Nurse Practitioner (Adult Health) | 1615 N RIVER RD NE WARREN, OH 44483 (330) 372-2333 |
| 1295046514 | DR. TIFFANY VICTOR D.O. Individual | Internal Medicine | 1615 N RIVER RD NE WARREN, OH 44483 (330) 372-2333 |
| 1508839614 | DR. JUSTIN PAUL MIKULA M.D. Individual | Internal Medicine | 1615 N RIVER RD NE SUITE 1 WARREN, OH 44483 (330) 372-2333 |
| 1851911655 | VINCENT MIKULA NP Individual | Nurse Practitioner (Family) | 1615 N RIVER RD NE WARREN, OH 44483 (330) 372-2333 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750487542, enumerated in the NPI registry as an "organization" on September 16, 2006
The provider is located at 1615 N River Rd Ne Suite 1 Warren, Oh 44483 and the phone number is (330) 372-2333
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 36D1047747 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 16, 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].
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