SUNLAKE MEDICAL ASSOCIATES
NPI 1114153483
Clinic/Center in Lutz, FL
NPI Status: Active since June 01, 2009
Contact Information
18964 DALE MABRY HWY N
STE 101
LUTZ, FL
ZIP 33548
Phone: (813) 948-2107
Fax: (813) 948-2790
- Organization
- Clinic/Center
About SUNLAKE MEDICAL ASSOCIATES
This page provides the complete NPI Profile along with additional information for Sunlake Medical Associates, a provider established in Lutz, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1114153483 assigned on June 2009. The practitioner's primary taxonomy code is 261Q00000X with license number HCC8458 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Sunlake Medical Associates. The authorized official of this NPI record is Dr. Luis A. Logrono Md (Medical Director)
- NPI
- 1114153483
- Provider Legal Name
- SUNLAKE PAIN MANAGEMENT, LLC
- Other Organization Name
- SUNLAKE MEDICAL ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 18964 DALE MABRY HWY N STE 101 LUTZ, FL 33548
- Location Phone
- (813) 948-2107
- Location Fax
- (813) 948-2790
- Mailing Address
- 18964 DALE MABRY HWY N STE 101 LUTZ, FL 33548
- Mailing Phone
- (813) 948-2107
- Mailing Fax
- (813) 948-2790
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2009
- Last Update Date
- 04-01-2010
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- HCC8458
- 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).
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 |
|---|---|---|---|
| CI914A | MEDICARE PIN (08) | FL |
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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 | 1 | 1 | 4 | 1 | 5 | 3 | 4 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 2 | 5 | 6 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 2 + 5 + 6 + 4 + 1 + 6 + 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 = 3 | 3 | ||||||||
The NPI number 1114153483 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700875739 | LUIS A LOGRONO MD Individual | Internal Medicine | 18964 DALE MABRY HWY N SUITE 101 LUTZ, FL 33548 (813) 948-2107 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114153483, enumerated in the NPI registry as an "organization" on June 01, 2009
The provider is located at 18964 Dale Mabry Hwy N Ste 101 Lutz, Fl 33548 and the phone number is (813) 948-2107
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
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 June 01, 2009. 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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