SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
NPI 1275998908
Non-Pharmacy Dispensing Site in Jacksonville, FL
NPI Status: Active since December 23, 2015
Contact Information
10475 CENTURION PKWY N
SUITE 220
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 634-0640
Fax: (904) 634-0203
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
About SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
This page provides the complete NPI Profile along with additional information for Southeast Orthopedic Specialists, Inc, a provider established in Jacksonville, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1275998908 assigned on December 2015. The practitioner's primary taxonomy code is 332900000X with license number ME80485 (FL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Brett Puckett (President)
- NPI
- 1275998908
- Provider Name
- SOUTHEAST ORTHOPEDIC SPECIALISTS, INC
- Entity Type
- Organization
- Location Address
- 10475 CENTURION PKWY N SUITE 220 JACKSONVILLE, FL 32256
- Location Phone
- (904) 634-0640
- Location Fax
- (904) 634-0203
- Mailing Address
- 10475 CENTURION PKWY N STE 220 JACKSONVILLE, FL 32256
- Mailing Phone
- (904) 634-0640
- Mailing Fax
- (904) 634-0203
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-23-2015
- Last Update Date
- 09-29-2022
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- ME80485
- License State
- FL
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue KC Catastrophic BlueSelect EPO - EPO
- Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care - EPO
- Blue KC Choice Silver 1 BlueSelect EPO with Spira Care - EPO
- Blue KC Choice Silver BlueSelect Plus EPO with Spira Care - EPO
- Blue KC Community Silver Preferred-Care Blue EPO - EPO
- Blue KC First Bronze Preferred-Care Blue EPO - EPO
- Blue KC Saver Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Bronze BlueSelect EPO - EPO
- Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Gold Preferred-Care Blue EPO - EPO
- Blue KC Standard Silver BlueSelect EPO - EPO
- Blue KC Standard Silver Preferred-Care Blue EPO - EPO
- BlueCross B07E HSA - EPO
- BlueCross B07S HSA - EPO
- BlueCross B15E $0 virtual care from Teladoc Health � - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with Atrium Health - HMO
- Gold Elite Saver Plus - HMO
- Gold Elite Saver Plus | with Atrium Health - HMO
- Secure - HMO
- Secure | with Atrium Health - HMO
- Silver Classic - HMO
- Silver Classic | with Atrium Health - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard | with Atrium Health - HMO
- Silver Simple Diabetes - HMO
- Silver Simple Diabetes | with Atrium Health - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple PCP Saver | with Atrium Health - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure - HMO
- Secure (Choice) - HMO
- Silver Classic Standard - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes (Choice) - HMO
- Bronze Classic - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 - PPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard - PPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus - PPO
- Bronze Elite + PCP Saver Plus | MercyOne - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard - PPO
- Gold Classic Standard | MercyOne - EPO
- Gold Elite - EPO
- Gold Elite | MercyOne - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Secure - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 | 7 | 5 | 9 | 9 | 8 | 9 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 18 | 9 | 16 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 8 + 9 + 1 + 6 + 9 + 0 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1275998908 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1134191034 | DR. BEVERLY DENISE MCMILLIN MD Individual | Otolaryngology (Pediatric Otolaryngology) | 10475 CENTURION PKWY N SUITE 302 JACKSONVILLE, FL 32256 (904) 398-5437 |
| 1225001589 | BRUCE R MADDERN MD PA Organization | Otolaryngology (Pediatric Otolaryngology) | 10475 CENTURION PKWY N SUITE 302 JACKSONVILLE, FL 32256 (904) 398-5437 |
| 1598776023 | DR. JACQUELINE OLSON AUD Individual | Audiologist | 10475 CENTURION PKWY N SUITE 303 JACKSONVILLE, FL 32256 (904) 399-0350 |
| 1124122577 | THE SURGERY CENTER OF JACKSONVILLE, LLC Organization | Clinic/Center (Ambulatory Surgical) | 10475 CENTURION PKWY N JACKSONVILLE, FL 32256 (352) 567-6502 |
| 1417072190 | J DOUGLAS GREEN JR MD PA Organization | Otolaryngology (Otology & Neurotology) | 10475 CENTURION PKWY N SUITE 303 JACKSONVILLE, FL 32256 (904) 399-0350 |
| 1376714691 | MS. NINOSKA SOCORRO ALVAREZ MSPT Individual | Physical Therapist | 10475 CENTURION PKWY N SUITE 304 JACKSONVILLE, FL 32256 (904) 854-2050 |
| 1396909420 | GORDON F TINLEY Individual | Audiologist | 10475 CENTURION PKWY N SUITE 303 JACKSONVILLE, FL 32256 (904) 399-0350 |
| 1548582984 | DR. CHRISTINA GEIGER AU.D Individual | Audiologist | 10475 CENTURION PKWY N #302 JACKSONVILLE, FL 32256 (904) 398-5437 |
| 1265865398 | LORI RAKITA AU.D. Individual | Audiologist | 10475 CENTURION PKWY N JACKSONVILLE, FL 32256 (920) 574-0140 |
| 1780728774 | SUSAN BARR OT Individual | Occupational Therapist | 10475 CENTURION PKWY N SUITE 220 JACKSONVILLE, FL 32256 (904) 634-0640 |
| 1265438493 | DR. JAMES DOUGLAS GREEN JR. M.D. Individual | Otolaryngology (Otology & Neurotology) | 10475 CENTURION PKWY N STE 303 JACKSONVILLE, FL 32256 (904) 399-0350 |
| 1528030418 | DR. BRUCE ROBERT MADDERN MD Individual | Otolaryngology (Pediatric Otolaryngology) | 10475 CENTURION PKWY N SUITE 302 JACKSONVILLE, FL 32256 (904) 398-5437 |
| 1326440801 | HEALTHCORE WELLNESS, P.A. Organization | Chiropractor | 10475 CENTURION PKWY N SUITE 201 JACKSONVILLE, FL 32256 (904) 646-2673 |
| 1790732030 | GUILLERMO B HAYAG PT-C Individual | Physical Therapist | 10475 CENTURION PKWY N SUITE 103 JACKSONVILLE, FL 32256 (904) 634-0929 |
| 1265524037 | SOMMER C HALL PT Individual | Physical Therapist (Orthopedic) | 10475 CENTURION PKWY N SUITE 220 JACKSONVILLE, FL 32256 (904) 634-0640 |
| 1396907374 | JACK CHRISTOPHER DUNN DPT Individual | Physical Therapist | 10475 CENTURION PKWY N SUITE 220 JACKSONVILLE, FL 32256 (960) 463-4064 |
| 1053644286 | AFTAN NOELLE DELANEY DPT Individual | Physical Therapist | 10475 CENTURION PKWY N SUITE 220 JACKSONVILLE, FL 32256 (904) 634-0640 |
| 1164719076 | BRIAN D TARDIF PA Individual | Physician Assistant (Surgical) | 10475 CENTURION PKWY N SUITE 220 JACKSONVILLE, FL 32256 (904) 634-0640 |
| 1588059083 | KRISTA L BONIECKI DPT Individual | Physical Therapist | 10475 CENTURION PKWY N SUIE 220 JACKSONVILLE, FL 32256 (904) 634-0640 |
| 1952789547 | CHRISTOPHER PEREZ DE CORCHO Individual | Physical Therapist | 10475 CENTURION PKWY N #304 JACKSONVILLE, FL 32256 (904) 854-2050 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275998908, enumerated in the NPI registry as an "organization" on December 23, 2015
The provider is located at 10475 Centurion Pkwy N Suite 220 Jacksonville, Fl 32256 and the phone number is (904) 634-0640
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
The provider might be accepting Accepts: Aetna CVS Health, Avera Health Plans, BannerAetna,. 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 December 23, 2015. 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.