MARYALICE SPIN MD
NPI 1265051031
Anesthesiology in Jacksonville, FL
NPI Status: Active since April 13, 2020
Contact Information
2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214
Phone: (315) 406-1761
- Individual
- Female
- Anesthesiology
- PECOS Enrolled
About MARYALICE SPIN
This page provides the complete NPI Profile along with additional information for Maryalice Spin, an anesthesiologist established in Jacksonville, Florida with a medical specialization in Anesthesiology. The healthcare provider is registered in the NPI registry with number 1265051031 assigned on April 2020. The practitioner's primary taxonomy code is 207L00000X with license number ME165746 (FL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1265051031
- Provider Name
- MARYALICE SPIN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2080 CHILD ST JACKSONVILLE, FL 32214
- Location Phone
- (315) 406-1761
- Mailing Address
- 2080 CHILD ST JACKSONVILLE, FL 32214
- Mailing Phone
- (315) 406-1761
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-13-2020
- Last Update Date
- 07-25-2024
- Code Navigator
An anesthesiologist like Maryalice Spin manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
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
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME165746
- License State
- FL
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Medicare Participation & PECOS Enrollment Status
Maryalice Spin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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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 | 6 | 5 | 0 | 5 | 1 | 0 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 0 | 5 | 2 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 0 + 5 + 2 + 0 + 6 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1265051031 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1194710277 | DR. MARGARET DEGGES ALEXANDER D.D.S. Individual | Dentist (Pediatric Dentistry) | 2080 CHILD ST NAVAL HOSPITAL JACKSONVILLE JACKSONVILLE, FL 32214 (904) 542-7540 |
| 1821073362 | WILLIAM K BOTT M.D. Individual | Orthopaedic Surgery | 2080 CHILD ST NAVAL HOSPITAL JACKSONVILLE--ORTHO DEPT JACKSONVILLE, FL 32214 (904) 542-7366 |
| 1871572180 | DR. MICHAEL ALVIS CLEVELAND PHARMD Individual | Pharmacist | 2080 CHILD ST NAVAL HOSPITAL JACKSONVILLE PHARMACY DEPT JACKSONVILLE, FL 32214 (904) 542-7406 |
| 1073592465 | PETER KEENE TRUE M. D. Individual | Psychiatry & Neurology (Psychiatry) | 2080 CHILD ST U. S. NAVAL HOSPITAL JACKSONVILLE NAS JAX JACKSONVILLE, FL 32214 (904) 542-3473 |
| 1265411383 | NAVAL HOSPITAL JACKSONVILLE Organization | Emergency Medicine | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7787 |
| 1780664854 | MS. MARY KATHERINE JACKSON FNP Individual | Nurse Practitioner (Family) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7516 |
| 1902886955 | DR. JOHN HAWLEY D.O. Individual | Psychiatry & Neurology (Neurology) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7373 |
| 1467432914 | DR. LESTER WASHBURN ROMINE M.D. Individual | Internal Medicine | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 270-4220 |
| 1275513871 | NH JAX Organization | Family Medicine | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7975 |
| 1285614743 | DR. CLIFFORD BLUMENBERG M.D. Individual | Family Medicine | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7963 |
| 1720068075 | DR. RAMON PEREZ MD Individual | Radiology (Diagnostic Radiology) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-9257 |
| 1891775102 | DR. KENNETH HARWOOD PH.D. Individual | Psychologist (Clinical) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3473 |
| 1861462921 | GARRY ANDREW SCHULTE DDS Individual | Dentist (General Practice) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3441 |
| 1265402457 | DR. LYMON NICHOLAS ROAN O.D. Individual | Optometrist | 2080 CHILD ST JACKSONVILLE, FL 32214 (305) 293-4600 |
| 1285604249 | ROBERT MORALES D.O. Individual | Obstetrics & Gynecology | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-7419 |
| 1235109836 | DR. REGINA P. O'NAN OD, MBA, FAAO Individual | Optometrist | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3500 |
| 1043280894 | DR. JOSEPH ANTHONY DRAUDE DDS Individual | Dentist (General Practice) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3441 |
| 1144290628 | JOHN WIDERGREN Individual | Surgery | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 215-7720 |
| 1346210929 | MR. TIMOTHY K BURNHAM PA-C, MPAS Individual | Physician Assistant (Medical) | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-3500 |
| 1598735359 | ALAN VANCE SIEWERTSEN R.D. Individual | Dietitian, Registered | 2080 CHILD ST JACKSONVILLE, FL 32214 (904) 542-9786 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265051031, enumerated in the NPI registry as an "individual" on April 13, 2020
The provider is located at 2080 Child St Jacksonville, Fl 32214 and the phone number is (315) 406-1761
The provider's speciality is Anesthesiology with taxonomy code 207L00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 13, 2020. 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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