JACKSONVILLE DIGESTIVE DISEASES CLINIC PA
NPI 1861506545
Internal Medicine - Gastroenterology in Jacksonville, NC

NPI Status: Active since August 18, 2006

Contact Information

224 MEMORIAL DR
SUITE A
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 577-1444
Fax: (910) 577-1001

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  • Organization
  • Internal Medicine
  • Gastroenterology

About JACKSONVILLE DIGESTIVE DISEASES CLINIC PA

This page provides the complete NPI Profile along with additional information for Jacksonville Digestive Diseases Clinic Pa, an internist established in Jacksonville, North Carolina operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1861506545 assigned on August 2006. The practitioner's primary taxonomy code is 207RG0100X with license number 22581 (NC). The provider is registered as an organization and their NPI record was last updated 18 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 Mrs. Clarita Q Issa (Corp Sec)

NPI
1861506545
Provider Name
JACKSONVILLE DIGESTIVE DISEASES CLINIC PA
Entity Type
Organization
Location Address
224 MEMORIAL DR SUITE A JACKSONVILLE, NC 28546
Location Phone
(910) 577-1444
Location Fax
(910) 577-1001
Mailing Address
224 MEMORIAL DR SUITE A JACKSONVILLE, NC 28546
Mailing Phone
(910) 577-1444
Mailing Fax
(910) 577-1001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2006
Last Update Date
11-14-2007
Code Navigator

An internist like Jacksonville Digestive Diseases Clinic Pa 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.

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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

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
22581
License State
NC
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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:

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

MRS. CLARITA Q ISSA

Authorized Official Title
CORP SEC
Authorized Official Phone
(910) 577-1444

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
8945475MEDICAID (05)NC 
45475OTHER (01)NCBC
C85562MEDICARE UPIN (02) 
201988MEDICARE PIN (08)NC 

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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.
1861506545
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281211001258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 0 + 0 + 1 + 2 + 5 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1861506545 is valid because the calculated check digit 5 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
1295732121 MAHMOUD A ISSA MD
Individual
Specialist224 MEMORIAL DR SUITE A
JACKSONVILLE, NC 28546
(910) 577-1444
1952359721DR. DAVID FIGOWY DPM
Individual
Podiatrist (Foot Surgery)224 MEMORIAL DR
JACKSONVILLE, NC 28546
(910) 577-7575
1033168349DR. MICHAEL CHAMBERS PORTER
Individual
Podiatrist224 MEMORIAL DR
JACKSONVILLE, NC 28546
(910) 577-7575
1659324507ASSOCIATES IN PODIATRY, P.A.
Organization
Podiatrist (Foot & Ankle Surgery)224 MEMORIAL DR
JACKSONVILLE, NC 28546
(910) 577-7575

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861506545, enumerated in the NPI registry as an "organization" on August 18, 2006

The provider is located at 224 Memorial Dr Suite A Jacksonville, Nc 28546 and the phone number is (910) 577-1444

This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

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 August 18, 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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