MOUNTAIN MEDICAL ASSOCIATES OF LONDON
NPI 1922275395
Surgery in London, KY

NPI Status: Active since May 14, 2008

Contact Information

102 PROFESSIONAL DR
SUITE 3
LONDON, KY
ZIP 40741
Phone: (606) 864-2788
Fax: (606) 864-2797

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  • Organization
  • Surgery
  • CLIA Number: 18D2279012
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-18-2026

About MOUNTAIN MEDICAL ASSOCIATES OF LONDON

This page provides the complete NPI Profile along with additional information for Mountain Medical Associates Of London, a provider established in London, Kentucky operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1922275395 assigned on May 2008. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Mountain Medical Associates Of London operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Mountain Medical Associates Of London. The authorized official of this NPI record is Mr. Benny Nolen (Vice President)

NPI
1922275395
Provider Legal Name
MEMORIAL HOSPITAL, INC.
Other Organization Name
MOUNTAIN MEDICAL ASSOCIATES OF LONDON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
102 PROFESSIONAL DR SUITE 3 LONDON, KY 40741
Location Phone
(606) 864-2788
Location Fax
(606) 864-2797
Mailing Address
509 MEMORIAL DR SUITE 2 MANCHESTER, KY 40962
Mailing Phone
(606) 598-5104
Mailing Fax
(606) 864-2797
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2008
Last Update Date
01-13-2021
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A surgeon like Mountain Medical Associates Of London treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

MR. BENNY NOLEN

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(606) 598-5104

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
65934523MEDICAID (05)KY 

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
18D2279012
Facility Type
Physician Office
Certificate Effective Date
March 19, 2024
Certificate Expiration Date
March 18, 2026
Laboratory Director
DR. JOEL STEPHENSON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mountain Medical Associates Of London on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MOUNTAIN MEDICAL ASSOCIATES OF LONDON

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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.
1922275395
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29424710318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 4 + 7 + 1 + 0 + 3 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1922275395 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528104700PARKWAY MED ASSOC PSC NURSE PRACT
Organization
Nurse Practitioner (Family)102 PROFESSIONAL DR SUITE 2
LONDON, KY 40741
(606) 878-9611
1811956089PARKWAY MEDICAL ASSOCIATES PSC
Organization
Family Medicine102 PROFESSIONAL DR SUITE 2
LONDON, KY 40741
(606) 878-9611
1073525861DR. JACKIE D MAXEY MD
Individual
Family Medicine102 PROFESSIONAL DR SUITE #2
LONDON, KY 40741
(606) 878-9611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922275395, enumerated in the NPI registry as an "organization" on May 14, 2008

The provider is located at 102 Professional Dr Suite 3 London, Ky 40741 and the phone number is (606) 864-2788

This medical organization specializes in Surgery with taxonomy code 208600000X

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.

The provider's CLIA number is 18D2279012 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on May 14, 2008. 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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