CENTER FOR MYOFASCIAL THERAPEUTICS AND AESTHETICS
NPI 1932750056
Nurse Practitioner in Saint John, IN
NPI Status: Active since September 20, 2019
Contact Information
9430 WICKER AVE
SAINT JOHN, IN
ZIP 46373
Phone: (219) 558-8068
Fax: (877) 822-9116
- Organization
- Nurse Practitioner
About CENTER FOR MYOFASCIAL THERAPEUTICS AND AESTHETICS
This page provides the complete NPI Profile along with additional information for Center For Myofascial Therapeutics And Aesthetics, a provider established in Saint John, Indiana operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1932750056 assigned on September 2019. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Center For Myofascial Therapeutics And Aesthetics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Brazzale Surgical Assisting Llc. The authorized official of this NPI record is Ariel Brazzale Np (Ceo)
- NPI
- 1932750056
- Provider Legal Name
- CENTER FOR MYOFASCIAL THERAPEUTICS AND AESTHETICS
- Other Organization Name
- BRAZZALE SURGICAL ASSISTING LLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 9430 WICKER AVE SAINT JOHN, IN 46373
- Location Phone
- (219) 558-8068
- Location Fax
- (877) 822-9116
- Mailing Address
- 9430 WICKER AVE SAINT JOHN, IN 46373
- Mailing Phone
- (219) 558-8068
- Mailing Fax
- (877) 822-9116
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-20-2019
- Last Update Date
- 08-21-2023
- Code Navigator
A nurse practitioner (NP) like Center For Myofascial Therapeutics And Aesthetics is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 7749 West 105th Avenue
Crown Point, IN 46307
(219) 669-1034 - 8701 Broadway
Merrillville, IN 46410
(219) 558-8068 - 901 MacArthur Blvd
Munster, IN 46321
(219) 558-8068 - 2020 E Columbus Dr Ste B
East Chicago, IN 46312
(219) 397-8648 - 929 Ridge Rd Ste 7
Munster, IN 46321
(219) 558-8068
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
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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 | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other |
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.
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 |
|---|---|---|---|
| 71013263A | OTHER (01) | IN | INDIANA NURSING BOARD LICENSE |
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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 | 9 | 3 | 2 | 7 | 5 | 0 | 0 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 14 | 5 | 0 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 1 + 4 + 5 + 0 + 0 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1932750056 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1528341567 | NIKHIL MALIK P.T., C.E.A.S. Individual | Physical Therapist | 9430 WICKER AVE SAINT JOHN, IN 46373 (219) 616-6475 |
| 1790062594 | GENESIS REHAB SERVICES LLC Organization | Clinic/Center (Physical Therapy) | 9430 WICKER AVE 1534 119TH STREET SAINT JOHN, IN 46373 (219) 655-5285 |
| 1568992055 | ARIEL PATRICIA BRAZZALE FNP- BC Individual | Nurse Practitioner | 9430 WICKER AVE SAINT JOHN, IN 46373 (219) 669-1034 |
| 1427809870 | FUZE MEDICAL Organization | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 9430 WICKER AVE SAINT JOHN, IN 46373 (219) 558-8068 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932750056, enumerated in the NPI registry as an "organization" on September 20, 2019
The provider is located at 9430 Wicker Ave Saint John, In 46373 and the phone number is (219) 558-8068
This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X
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 September 20, 2019. 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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