PHOENIX MEDICAL ASSOCIATES
NPI 1790736239
Psychiatry & Neurology - Addiction Medicine in Kerrville, TX
NPI Status: Active since May 12, 2006
Contact Information
222 SIDNEY BAKER SOUTH
SUITE 500
KERRVILLE, TX
ZIP 78028
Phone: (830) 895-7675
Fax: (830) 896-3082
- Organization
- Psychiatry & Neurology
- Addiction Medicine
About PHOENIX MEDICAL ASSOCIATES
This page provides the complete NPI Profile along with additional information for Phoenix Medical Associates, a provider established in Kerrville, Texas operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1790736239 assigned on May 2006. The practitioner's primary taxonomy code is 2084A0401X with license number G1112 (TX). The provider is registered as an organization and their NPI record was last updated 14 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 Anand W. Mehendale M.d. (President)
- NPI
- 1790736239
- Provider Name
- PHOENIX MEDICAL ASSOCIATES
- Entity Type
- Organization
- Location Address
- 222 SIDNEY BAKER SOUTH SUITE 500 KERRVILLE, TX 78028
- Location Phone
- (830) 895-7675
- Location Fax
- (830) 896-3082
- Mailing Address
- 222 SIDNEY BAKER SOUTH SUITE 500 KERRVILLE, TX 78028
- Mailing Phone
- (830) 895-7675
- Mailing Fax
- (830) 896-3082
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-12-2006
- Last Update Date
- 09-08-2011
- Code Navigator
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
Psychiatry & Neurology Addiction Medicine
- Taxonomy Code
- 2084A0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G1112
- License State
- TX
- Taxonomy Description
- A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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:
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.
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 |
|---|---|---|---|
| 00564K | OTHER (01) | TX | MEDICARE PTAN |
| 080790101 | MEDICAID (05) | TX | |
| 0093CZ | OTHER (01) | TX | BLUE CROSS BLUE SHIELD |
| CJ3940 | OTHER (01) | TX | RAILROAD MEDICARE |
| B24829 | MEDICARE UPIN (02) |
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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 | 7 | 3 | 6 | 2 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 3 | 12 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 3 + 1 + 2 + 2 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1790736239 is valid because the calculated check digit 9 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 1790736239, enumerated in the NPI registry as an "organization" on May 12, 2006
The provider is located at 222 Sidney Baker South Suite 500 Kerrville, Tx 78028 and the phone number is (830) 895-7675
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084A0401X with a focus in Addiction Medicine
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. 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 May 12, 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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