DR PHILLIPS MEDICAL WELLNESS CENTER LLC
NPI 1225549603
Family Medicine in Fern Park, FL
NPI Status: Active since October 12, 2017
Contact Information
2915 LAKEVIEW DR STE 1001
FERN PARK, FL
ZIP 32730
Phone: (407) 900-0613
Fax: (407) 335-6945
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 10D2142157
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-27-2025
About DR PHILLIPS MEDICAL WELLNESS CENTER LLC
This page provides the complete NPI Profile along with additional information for Dr Phillips Medical Wellness Center Llc, a primary care provider established in Fern Park, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1225549603 assigned on October 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Dr Phillips Medical Wellness Center Llc 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 Dr. Maryam Phillips Md (Owner)
- NPI
- 1225549603
- Provider Name
- DR PHILLIPS MEDICAL WELLNESS CENTER LLC
- Entity Type
- Organization
- Location Address
- 2915 LAKEVIEW DR STE 1001 FERN PARK, FL 32730
- Location Phone
- (407) 900-0613
- Location Fax
- (407) 335-6945
- Mailing Address
- 3300 S FISKE BLVD ROCKLEDGE, FL 32955
- Mailing Phone
- (407) 960-1465
- Mailing Fax
- (407) 335-6945
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2017
- Last Update Date
- 03-25-2021
- Code Navigator
A primary care provider (PCP) like Dr Phillips Medical Wellness Center Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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:
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
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 |
|---|---|---|---|
| NH873 | OTHER (01) | FL | FL MEDICARE |
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
- 10D2142157
- Facility Type
- Physician Office
- Certificate Effective Date
- July 28, 2023
- Certificate Expiration Date
- July 27, 2025
- Laboratory Director
- DR. MARYAM PHILLIPS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Dr Phillips Medical Wellness Center Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 2 | 2 | 5 | 5 | 4 | 9 | 6 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 10 | 4 | 18 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 1 + 0 + 4 + 1 + 8 + 6 + 0 + 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 1225549603 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487968764 | ANIELKA RAFAELA RODRIGUEZ M.D. Individual | Family Medicine | 2915 LAKEVIEW DR STE 1001 FERN PARK, FL 32730 (407) 900-0613 |
| 1497338701 | ANGELA PATRICIA SALAZAR DE TORRES FNP-BC Individual | Nurse Practitioner (Family) | 2915 LAKEVIEW DR STE 1001 FERN PARK, FL 32730 (074) 900-0613 |
| 1417512716 | ARIANA MARIA ROSADO MALDONADO MD Individual | Family Medicine | 2915 LAKEVIEW DR STE 1001 FERN PARK, FL 32730 (407) 900-0613 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225549603, enumerated in the NPI registry as an "organization" on October 12, 2017
The provider is located at 2915 Lakeview Dr Ste 1001 Fern Park, Fl 32730 and the phone number is (407) 900-0613
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2142157 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 12, 2017. 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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