PATIENT CONNECT HEALTHCARE CLINIC LLC
NPI 1104106525
Clinic/Center in St Petersburg, FL

NPI Status: Active since August 17, 2011

Contact Information

6350 CENTRAL AVE
SUITE A
ST PETERSBURG, FL
ZIP 33707
Phone: (727) 490-6326

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  • Organization
  • Clinic/Center

About PATIENT CONNECT HEALTHCARE CLINIC LLC

This page provides the complete NPI Profile along with additional information for Patient Connect Healthcare Clinic Llc, a provider established in St Petersburg, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104106525 assigned on August 2011. The practitioner's primary taxonomy code is 261Q00000X with license number LC9743 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Ann L Conard (Financial Officer)

NPI
1104106525
Provider Name
PATIENT CONNECT HEALTHCARE CLINIC LLC
Entity Type
Organization
Location Address
6350 CENTRAL AVE SUITE A ST PETERSBURG, FL 33707
Location Phone
(727) 490-6326
Mailing Address
6350 CENTRAL AVE SUITE A ST PETERSBURG, FL 33707
Mailing Phone
(727) 490-6326
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2011
Last Update Date
05-24-2012
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
LC9743
License State
FL
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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. ANN L CONARD

Authorized Official Title
FINANCIAL OFFICER
Authorized Official Phone
(727) 490-6326

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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.
1104106525
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104201254
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 0 + 1 + 2 + 5 + 4 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1104106525 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 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790817484 MARY ELLEN B ROGERS ARNP
Individual
Nurse Practitioner (Family)6350 CENTRAL AVE
ST PETERSBURG, FL 33707
(813) 977-0733
1023076510 KEVIN B WITT M.D.
Individual
Family Medicine6350 CENTRAL AVE
ST PETERSBURG, FL 33707
(727) 381-1144
1194783738 JOSEPH P SPRINGLE M.D.
Individual
Family Medicine6350 CENTRAL AVE
ST PETERSBURG, FL 33707
(727) 381-1144
1699171462 SHARI ROBERTS FNP
Individual
Nurse Practitioner (Family)6350 CENTRAL AVE
ST PETERSBURG, FL 33707
(727) 381-1144
1184316341 JENNIFER BEITELSHEES
Individual
Nurse Practitioner6350 CENTRAL AVE
ST PETERSBURG, FL 33707
(773) 368-1780
1437693082 ERICA LYNSEY LEPAK-LONG PA-C
Individual
Physician Assistant (Medical)6350 CENTRAL AVE
ST PETERSBURG, FL 33707
(727) 381-1144
1801851332DR. HISHAM HANAI M.D.
Individual
Family Medicine6350 CENTRAL AVE
ST PETERSBURG, FL 33707
(727) 381-1144
1376732818 RAFAL PIOTR KACZYNSKI MD
Individual
Family Medicine6350 CENTRAL AVE
SAINT PETERSBURG, FL 33707
(727) 381-1144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104106525, enumerated in the NPI registry as an "organization" on August 17, 2011

The provider is located at 6350 Central Ave Suite A St Petersburg, Fl 33707 and the phone number is (727) 490-6326

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on August 17, 2011. 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.