PATH MEDICAL - ORANGE PARK
NPI 1316454788
Clinic/Center - Health Service in Orange Park, FL

NPI Status: Active since January 06, 2018

Contact Information

859 PARK AVE STE 102
ORANGE PARK, FL
ZIP 32073
Phone: (904) 278-7411
Fax: (855) 831-2251

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  • Organization
  • Clinic/Center
  • Health Service

About PATH MEDICAL - ORANGE PARK

This page provides the complete NPI Profile along with additional information for Path Medical - Orange Park, a provider established in Orange Park, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1316454788 assigned on January 2018. The practitioner's primary taxonomy code is 261QH0100X with license number HCC11223 (FL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Path Medical - Orange Park. The authorized official of this NPI record is Anicia O Vicente Ma (Billing Directo)

NPI
1316454788
Provider Legal Name
PATH MEDICAL, LLC
Other Organization Name
PATH MEDICAL - ORANGE PARK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
859 PARK AVE STE 102 ORANGE PARK, FL 32073
Location Phone
(904) 278-7411
Location Fax
(855) 831-2251
Mailing Address
6220 S ORANGE BLOSSOM TRL STE 200 ORLANDO, FL 32809
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-06-2018
Last Update Date
06-16-2018
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
HCC11223
License State
FL

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

ANICIA O VICENTE MA

Authorized Official Title
BILLING DIRECTO
Authorized Official Phone
(407) 367-5160

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
475580767OTHER (01)FLPIP

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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.
1316454788
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326858716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 8 + 5 + 8 + 7 + 1 + 6 + 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 = 88

The NPI number 1316454788 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275031569PATH MEDICAL, LLC
Organization
Clinic/Center (Health Service)859 PARK AVE STE 102
ORANGE PARK, FL 32073
(407) 367-5160
1578193504FLORIDA INSTITUTE OF PAIN MEDICINE LLC
Organization
Anesthesiology (Pediatric Anesthesiology)859 PARK AVE STE 102
ORANGE PARK, FL 32073
(904) 449-7246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316454788, enumerated in the NPI registry as an "organization" on January 06, 2018

The provider is located at 859 Park Ave Ste 102 Orange Park, Fl 32073 and the phone number is (904) 278-7411

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

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 January 06, 2018. 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.