JOHANNA S. FRICKE, M.D., LLC
NPI 1790108264
Pediatrics - Developmental - Behavioral Pediatrics in Las Vegas, NV
NPI Status: Active since February 03, 2014
Contact Information
311 N BUFFALO DR
SUITE B
LAS VEGAS, NV
ZIP 89145
Phone: (702) 877-2520
Fax: (702) 877-2521
- Organization
- Pediatrics
- Developmental - Behavioral Pediatrics
About JOHANNA S. FRICKE, M.D., LLC
This page provides the complete NPI Profile along with additional information for Johanna S. Fricke, M.d., Llc, a pediatrician established in Las Vegas, Nevada operating as a Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1790108264 assigned on February 2014. The practitioner's primary taxonomy code is 2080P0006X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Johanna Fricke M.d. (Physician/ceo)
- NPI
- 1790108264
- Provider Name
- JOHANNA S. FRICKE, M.D., LLC
- Entity Type
- Organization
- Location Address
- 311 N BUFFALO DR SUITE B LAS VEGAS, NV 89145
- Location Phone
- (702) 877-2520
- Location Fax
- (702) 877-2521
- Mailing Address
- 1300 PREMIER CT LAS VEGAS, NV 89117
- Mailing Phone
- (702) 804-9065
- Mailing Fax
- (702) 877-2521
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-03-2014
- Last Update Date
- 03-07-2023
- Code Navigator
A pediatrician like Johanna S. Fricke, M.d., Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Developmental - Behavioral Pediatrics
- Taxonomy Code
- 2080P0006X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NV
- Taxonomy Description
- A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
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) |
|---|---|---|---|---|
| 1 | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | (NV) |
| 2 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | (NV) |
| 3 | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | (NV) |
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.
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 |
|---|---|---|---|
| 32876 | OTHER (01) | NV | MEDICARE ID-TYPE UNSPECIFIED/MEDICARE |
| 002002223 | MEDICAID (05) | NV | |
| CS09750 | OTHER (01) | NV | STATE PHARMACY |
| 003102223 | OTHER (01) | NV | MEDICARE ID-TYPE UNSPECIFIED/NV MEDICAID |
Reviews for JOHANNA S. FRICKE, M.D., LLC
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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 | 9 | 0 | 1 | 0 | 8 | 2 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 0 | 16 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 0 + 1 + 6 + 2 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1790108264 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1881614154 | BALANCE CENTERS OF AMERICA Organization | Physical Therapist | 311 N BUFFALO DR SUITE C LAS VEGAS, NV 89145 (702) 341-0606 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790108264, enumerated in the NPI registry as an "organization" on February 03, 2014
The provider is located at 311 N Buffalo Dr Suite B Las Vegas, Nv 89145 and the phone number is (702) 877-2520
This medical organization specializes in Pediatrics with taxonomy code 2080P0006X with a focus in Developmental - Behavioral Pediatrics
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 February 03, 2014. 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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