ID CONSULTS AND SERVICES, PA
NPI 1043551468
Internal Medicine - Infectious Disease in Key West, FL
NPI Status: Active since March 11, 2013
Contact Information
3142 NORTHSIDE DR
SUITE 101
KEY WEST, FL
ZIP 33040
Phone: (305) 615-3300
- Organization
- Internal Medicine
- Infectious Disease
- CLIA Number: 10D2129760
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-24-2027
About ID CONSULTS AND SERVICES, PA
This page provides the complete NPI Profile along with additional information for Id Consults And Services, Pa, an internist established in Key West, Florida operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1043551468 assigned on March 2013. The practitioner's primary taxonomy code is 207RI0200X with license number ME 114239 (FL). The provider is registered as an organization and their NPI record was last updated 12 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 Mr. Darryl Wallace (Business Manager)
- NPI
- 1043551468
- Provider Name
- ID CONSULTS AND SERVICES, PA
- Entity Type
- Organization
- Location Address
- 3142 NORTHSIDE DR SUITE 101 KEY WEST, FL 33040
- Location Phone
- (305) 615-3300
- Mailing Address
- 3142 NORTHSIDE DR SUITE 101 KEY WEST, FL 33040
- Mailing Phone
- (305) 615-3300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-11-2013
- Last Update Date
- 10-17-2013
- Code Navigator
An internist like Id Consults And Services, 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.
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
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME 114239
- License State
- FL
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel 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.
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
- 10D2129760
- Facility Type
- Physician Office
- Certificate Effective Date
- April 25, 2025
- Certificate Expiration Date
- April 24, 2027
- Laboratory Director
- JERRY J. JACKSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Id Consults And Services, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 0 | 4 | 3 | 5 | 5 | 1 | 4 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 10 | 5 | 2 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 0 + 5 + 2 + 4 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1043551468 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548313430 | GAIL HARDY ARNP Individual | Nurse Practitioner (Women's Health) | 3142 NORTHSIDE DR SUITE 101 KEY WEST, FL 33040 (305) 294-4004 |
| 1033385570 | RENEE SUSAN GRIER ARNP Individual | Nurse Practitioner | 3142 NORTHSIDE DR SUITE 101 KEY WEST, FL 33040 (305) 294-4004 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043551468, enumerated in the NPI registry as an "organization" on March 11, 2013
The provider is located at 3142 Northside Dr Suite 101 Key West, Fl 33040 and the phone number is (305) 615-3300
This medical organization specializes in Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease
The provider's CLIA number is 10D2129760 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 11, 2013. 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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