MATIONG MEDICAL CENTER
NPI 1770868416
Exclusive Provider Organization in Hudson, FL

NPI Status: Active since October 13, 2011

Contact Information

10201 STATE ROAD 52
HUDSON, FL
ZIP 34669
Phone: (727) 857-1818
Fax: (727) 857-1609

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About MATIONG MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Mationg Medical Center, a provider established in Hudson, Florida operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1770868416 assigned on October 2011. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Mationg Medical Center. The authorized official of this NPI record is Dr. Teodulo R Mationg Jr. M.d. (Practitioner)

NPI
1770868416
Provider Legal Name
T.R. MATIONG MD PA
Other Organization Name
MATIONG MEDICAL CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
10201 STATE ROAD 52 HUDSON, FL 34669
Location Phone
(727) 857-1818
Location Fax
(727) 857-1609
Mailing Address
10201 STATE ROAD 52 HUDSON, FL 34669
Mailing Phone
(727) 857-1818
Mailing Fax
(727) 857-1609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2011
Last Update Date
07-08-2013
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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.

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.

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

DR. TEODULO R MATIONG JR. M.D.

Authorized Official Title
PRACTITIONER
Authorized Official Phone
(727) 857-1818

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
10624OTHER (01)BLUE CROSS BLUE SHIELD
A61906MEDICARE UPIN (02) 
593613012OTHER (01)HUMANA PPO
05931OTHER (01)UHCARE
451024515OTHER (01)WELLCARE

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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.
1770868416
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401661642
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 6 + 6 + 1 + 6 + 4 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1770868416 is valid because the calculated check digit 6 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 1770868416, enumerated in the NPI registry as an "organization" on October 13, 2011

The provider is located at 10201 State Road 52 Hudson, Fl 34669 and the phone number is (727) 857-1818

This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Humana. 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 October 13, 2011. 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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