SJMO BALD MOUNTAIN
NPI 1922276013
Family Medicine in Lake Orion, MI

NPI Status: Active since February 12, 2008

Contact Information

1375 S LAPEER RD
SUITE 160
LAKE ORION, MI
ZIP 48360
Phone: (248) 693-9040
Fax: (248) 693-9007

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  • Organization
  • Family Medicine

About SJMO BALD MOUNTAIN

This page provides the complete NPI Profile along with additional information for Sjmo Bald Mountain, a primary care provider established in Lake Orion, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1922276013 assigned on February 2008. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Sjmo Bald Mountain operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jack Weiner (Ceo)

NPI
1922276013
Provider Name
SJMO BALD MOUNTAIN
Entity Type
Organization
Location Address
1375 S LAPEER RD SUITE 160 LAKE ORION, MI 48360
Location Phone
(248) 693-9040
Location Fax
(248) 693-9007
Mailing Address
1375 S LAPEER RD SUITE 160 LAKE ORION, MI 48360
Mailing Phone
(248) 693-9040
Mailing Fax
(248) 693-9007
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-12-2008
Last Update Date
02-12-2008
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A primary care provider (PCP) like Sjmo Bald Mountain sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

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.

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

JACK WEINER

Authorized Official Title
CEO
Authorized Official Phone
(248) 858-3140

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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.
1922276013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942471202
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 + 2 + 0 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1922276013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811094600MR. MITCHELL LELAND SHAVER MPT
Individual
Physical Therapist1375 S LAPEER RD SUITE 209
LAKE ORION, MI 48360
(248) 814-0500
1780774562DR. KEVIN WALLACE ROBERTSON D.O.
Individual
Family Medicine1375 S LAPEER RD SUITE 106
LAKE ORION, MI 48360
(248) 693-9040
1972509404MRS. AMY MCCARTHY M.D.
Individual
Internal Medicine1375 S LAPEER RD STE 210
LAKE ORION, MI 48360
(248) 693-5700
1366448896MR. TIMOTHY DICKSON M.D.
Individual
Internal Medicine1375 S LAPEER RD STE 210
LAKE ORION, MI 48360
(248) 693-5700
1477551166MRS. THERESA LARSEN M.D.
Individual
Internal Medicine1375 S LAPEER RD STE 210
LAKE ORION, MI 48360
(248) 693-5700
1518393800JOHN KITZMILLER M.D. PC
Organization
Family Medicine (Addiction Medicine)1375 S LAPEER RD SUITE 203
LAKE ORION, MI 48360
(248) 693-4000
1184839839MICHIGAN GULF TO BAY ANESTHESIOLOGY ASSOCIATES PSC
Organization
Anesthesiology1375 S LAPEER RD SUITE 109
LAKE ORION, MI 48360
(248) 693-7954
1265927131 SHELDON WEINTROB
Individual
Psychologist (Counseling)1375 S LAPEER RD
LAKE ORION, MI 48360
(248) 693-4000
1427155621PHYSIOTHERAPY ASSOCIATES INC
Organization
Clinic/Center (Rehabilitation)1375 S LAPEER RD STE 209
LAKE ORION, MI 48360
(248) 814-0500
1780761486BALD MOUNTAIN DIAGNOSTIC IMAGING
Organization
Clinic/Center (Radiology)1375 S LAPEER RD STE 104
LAKE ORION, MI 48360
(248) 814-7800
1407926306HAKAW, P.C.
Organization
Family Medicine1375 S LAPEER RD SUITE 106
LAKE ORION, MI 48360
(248) 693-9040
1699294298 EHSAN WALI
Individual
Pharmacist1375 S LAPEER RD
LAKE ORION, MI 48360
(248) 929-8174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922276013, enumerated in the NPI registry as an "organization" on February 12, 2008

The provider is located at 1375 S Lapeer Rd Suite 160 Lake Orion, Mi 48360 and the phone number is (248) 693-9040

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on February 12, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.