NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA
NPI 1205247210
Specialist in Middleburg, FL

NPI Status: Active since May 13, 2014

Contact Information

1670 ST VINCENTS WAY
MIDDLEBURG, FL
ZIP 32068
Phone: (904) 384-2240
Fax: (904) 486-2314

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  • Organization
  • Specialist

About NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for Northeast Florida Endocrine And Diabetes Associates, Pa, a provider established in Middleburg, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1205247210 assigned on May 2014. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Northeast Florida Endocrine And Diabetes Associates, Pa 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 Mrs. Dena F Clay (Office Manager)

NPI
1205247210
Provider Name
NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA
Entity Type
Organization
Location Address
1670 ST VINCENTS WAY MIDDLEBURG, FL 32068
Location Phone
(904) 384-2240
Location Fax
(904) 486-2314
Mailing Address
915 W MONROE ST SUITE 200 JACKSONVILLE, FL 32204
Mailing Phone
(904) 384-2240
Mailing Fax
(904) 486-2314
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2014
Last Update Date
05-02-2017
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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.

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. DENA F CLAY

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(904) 384-2240

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
374606200MEDICAID (05)FL 
77240MEDICARE PIN (08)FL 
5497720001MEDICARE NSC (07)FL 

Reviews for NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA

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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.
1205247210
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205441422
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 4 + 4 + 1 + 4 + 2 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1205247210 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972786903 CAROLINE O SMITH PA-C
Individual
Physician Assistant1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1400
1336111533 JONATAN DE JESUS VALDEZ DIAZ M.D.
Individual
Internal Medicine1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 308-3960
1457690471ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC.
Organization
General Acute Care Hospital1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 308-8446
1679122907MR. SCOT JOSEPH POPPELL
Individual
Physician Assistant1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000
1548770852MRS. YVONNE AMELIA ROMERO RN, CDE
Individual
Registered Nurse (Diabetes Educator)1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-2329
1619401791 MORGAN PAIGE GAVLIK PA-C
Individual
Physician Assistant1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1407
1184219404MAUREEN HAMILTON CRNFA, LLC
Organization
Registered Nurse (Registered Nurse First Assistant)1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1236
1538834866EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE
Organization
Emergency Medicine1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 308-7300
1093787640DR. MOLLIE FRANCES TRIPP DNP, RNC ,MSN ,NNP-
Individual
Nurse Practitioner (Neonatal)1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000
1386345387 STEPHANIE PARKS ARNP
Individual
Nurse Practitioner1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1400
1699462689CEP AMERICA LLC
Organization
Emergency Medicine1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000
1669044954NORTH FLORIDA ANESTHESIA CONSULTANTS INC
Organization
Anesthesiology1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(877) 328-1119
1407531437 REBEKAH ANNE WARREN RRT
Individual
Respiratory Therapist, Registered1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000
1326823634 ERICKA MONIQUE GORDON
Individual
Nurse Practitioner (Family)1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000
1730752825DRS. MCCLOW, CLARK & BERK PA
Organization
Radiology (Diagnostic Radiology)1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 308-1219
1588922249DR. LEOR AZOULAY MD
Individual
Hospitalist1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000
1689202574 OSMAN ISMAEEL
Individual
Internal Medicine1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000
1437788288DR. AMANDA LARSH PHARMD
Individual
Pharmacist1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000
1720474216 RUKMA PARTHVI MD
Individual
Internal Medicine (Pulmonary Disease)1670 ST VINCENTS WAY SUITE 100
MIDDLEBURG, FL 32068
(678) 215-4350
1942890041MRS. SARA WILSON ELLERBE PA
Individual
Physician Assistant1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068
(904) 602-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205247210, enumerated in the NPI registry as an "organization" on May 13, 2014

The provider is located at 1670 St Vincents Way Middleburg, Fl 32068 and the phone number is (904) 384-2240

This medical organization specializes in Specialist with taxonomy code 174400000X

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 May 13, 2014. 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.