WOLFSON CHILDREN'S SPECIALTY SERVICES
NPI 1285149138
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jacksonville, FL

NPI Status: Active since December 13, 2017

Contact Information

836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-8290
Fax: (904) 202-8171

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About WOLFSON CHILDREN'S SPECIALTY SERVICES

This page provides the complete NPI Profile along with additional information for Wolfson Children's Specialty Services, a provider established in Jacksonville, Florida operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1285149138 assigned on December 2017. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Wolfson Children's Specialty Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Wolfson Children's Specialty Services. The authorized official of this NPI record is Thabata Batchelor (Administrator)

NPI
1285149138
Provider Legal Name
BAPTIST SPECIALTY PHYSICIANS INC
Other Organization Name
WOLFSON CHILDREN'S SPECIALTY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
836 PRUDENTIAL DR STE 802 JACKSONVILLE, FL 32207
Location Phone
(904) 202-8290
Location Fax
(904) 202-8171
Mailing Address
PO BOX 44047 JACKSONVILLE, FL 32231
Mailing Phone
(904) 376-4083
Mailing Fax
(904) 202-8171
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-13-2017
Last Update Date
05-21-2021
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License State
FL
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080P0202XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Cardiology

 

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.

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

THABATA BATCHELOR

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(904) 202-5048

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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.
1285149138
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165241816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 4 + 1 + 8 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285149138 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063485506DR. ERIC LEE CEITHAML M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207
(904) 202-8290
1700950474DR. SHAMSUR RAHMAN CHOWDHURY M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207
(904) 202-8290
1710504725MRS. GLADYS ELENA HATEM APRN
Individual
Nurse Practitioner836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207
(904) 202-8290
1811157993 HARMA TURBENDIAN
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)836 PRUDENTIAL DR STE 802 CHILDRENS HOSPITAL DRIVE
JACKSONVILLE, FL 32207
(904) 202-8290
1437109063MRS. MELISSA GRIFFIN TYLER APRN
Individual
Nurse Practitioner (Pediatrics)836 PRUDENTIAL DR STE 802
JACKSONVILLE, FL 32207
(904) 202-8290

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285149138, enumerated in the NPI registry as an "organization" on December 13, 2017

The provider is located at 836 Prudential Dr Ste 802 Jacksonville, Fl 32207 and the phone number is (904) 202-8290

This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X

This NPI record was last updated on December 13, 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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