JACKSON MEMORIAL HOSPITAL
NPI 1336152073
General Acute Care Hospital in Miami, FL
NPI Status: Active since August 14, 2006
- Organization
- General Acute Care Hospital
- Accepts Insurance
- CLIA Number: 10D1033644
- CLIA Cert. Type: Other
- CLIA Exp. Date: 11-14-2026
About JACKSON MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Jackson Memorial Hospital, a provider established in Miami, Florida operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1336152073 assigned on August 2006. The practitioner's primary taxonomy code is 282N00000X with license number 20652 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Lynette C Mena Pt (Physical Therapist)
- NPI
- 1336152073
- Provider Name
- JACKSON MEMORIAL HOSPITAL
- Entity Type
- Organization
- Location Address
- 1611 NW 12TH AVE MIAMI, FL 33136
- Location Phone
- (305) 585-6334
- Mailing Address
- 1621 COLLINS AVE APT 903 MIAMI BEACH, FL 33139
- Mailing Phone
- (305) 535-9962
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2006
- Last Update Date
- 08-22-2020
- 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
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- 20652
- License State
- FL
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 10D1033644
- Facility Type
- Other
- Certificate Effective Date
- November 15, 2024
- Certificate Expiration Date
- November 14, 2026
- Laboratory Director
- ROBERTO R. GONZALEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jackson Memorial Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for JACKSON MEMORIAL HOSPITAL
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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 | 3 | 3 | 6 | 1 | 5 | 2 | 0 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 5 | 4 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 5 + 4 + 0 + 1 + 4 + 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 1336152073 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740286251 | KAREN CHITTY MD Individual | Emergency Medicine | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-6913 |
| 1598761793 | MS. DEBRA JEANNE DIAZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-8684 |
| 1861498891 | VALERIE DIAZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-6586 |
| 1386640282 | DR. SCOTT KOHL DO Individual | Emergency Medicine | 1611 NW 12TH AVE MIAMI, FL 33136 (954) 709-0966 |
| 1184620726 | MISS NATASHA ELISE ROBINSON PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-7096 |
| 1376540971 | DR. JAY B.B. BLAKE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-7195 |
| 1578563565 | DR. CAMERON DEZFULIAN MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-1111 |
| 1255326930 | DR. GINA ELIZABETH WHITE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1611 NW 12TH AVE PHARMACY DEPARTMENT MIAMI, FL 33136 (305) 585-8906 |
| 1073509626 | DR. AYANNA D PHILLIPS PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1611 NW 12TH AVE JACKSON MEMORIAL HOSPITAL PHARMACY DEPARTMENT MIAMI, FL 33136 (305) 585-7308 |
| 1841272077 | MR. ABDUL MAJID MEMON MD Individual | Emergency Medicine | 1611 NW 12TH AVE ECC ET 1195 MIAMI, FL 33136 (305) 585-6913 |
| 1316917321 | DR. JOHN EDWARD SULLIVAN M.D. Individual | Emergency Medicine | 1611 NW 12TH AVE JACKSON MEMORIAL HOSPITAL MIAMI, FL 33136 (305) 585-7872 |
| 1477525897 | LOAY SALMAN MD Individual | Internal Medicine (Nephrology) | 1611 NW 12TH AVE BOX 016960 M851 MIAMI, FL 33136 (305) 585-1111 |
| 1437124534 | MS. CHIFFON ROCHELLE HOLIDAY ARNP Individual | Nurse Practitioner (Family) | 1611 NW 12TH AVE MIAMI, FL 33136 (954) 885-0443 |
| 1982670741 | MRS. MARIA SOCORRO TORRES-BURGOS ARNP Individual | Nurse Practitioner | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-8946 |
| 1265408058 | ANGELA ROSE BURRAFATO M.D. Individual | Internal Medicine | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-6524 |
| 1114993755 | MR. DOUGLAS EUGENE HOUGHTON JR. ARNP Individual | Nurse Practitioner (Critical Care Medicine) | 1611 NW 12TH AVE JACKSON HEALTH SYSTEM MIAMI, FL 33136 (305) 585-1168 |
| 1184691008 | MRS. RHONDA JANE SMITH RN, MSN, ARNP Individual | Nurse Practitioner (Adult Health) | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-6538 |
| 1437126778 | DR. WILLIAM W CULBERTSON MD Individual | Ophthalmology | 1611 NW 12TH AVE M851 MIAMI, FL 33136 (305) 243-7688 |
| 1821066440 | MONICA A. LUFT CRNA Individual | Nurse Anesthetist, Certified Registered | 1611 NW 12TH AVE SOUTH WING RM 300 MIAMI, FL 33136 (305) 585-8684 |
| 1902865264 | JAVIER ROMERO Individual | Registered Nurse | 1611 NW 12TH AVE MIAMI, FL 33136 (305) 585-6586 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336152073, enumerated in the NPI registry as an "organization" on August 14, 2006
The provider is located at 1611 Nw 12th Ave Miami, Fl 33136 and the phone number is (305) 585-6334
This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D1033644 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 14, 2006. 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.