PRECISION DERMATOLOGY AND SKIN SURGERY PA
NPI 1336553619
Dermatology in Jacksonville, FL
NPI Status: Active since June 16, 2014
Contact Information
1550 RIVERSIDE AVE
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 613-3966
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 10D2081407
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-26-2026
About PRECISION DERMATOLOGY AND SKIN SURGERY PA
This page provides the complete NPI Profile along with additional information for Precision Dermatology And Skin Surgery Pa, a provider established in Jacksonville, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1336553619 assigned on June 2014. The practitioner's primary taxonomy code is 207N00000X with license number ME76595 (FL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Angie Hubbard (Manager)
- NPI
- 1336553619
- Provider Name
- PRECISION DERMATOLOGY AND SKIN SURGERY PA
- Entity Type
- Organization
- Location Address
- 1550 RIVERSIDE AVE JACKSONVILLE, FL 32204
- Location Phone
- (904) 613-3966
- Mailing Address
- 1550 RIVERSIDE AVE STE A JACKSONVILLE, FL 32204
- Mailing Phone
- (904) 923-6647
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-16-2014
- Last Update Date
- 06-30-2021
- Code Navigator
A dermatologist like Precision Dermatology And Skin Surgery Pa is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME76595
- License State
- FL
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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) |
|---|---|---|---|---|
| 1 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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 + Adult Dental + Vision - HMO
- Bronze S: 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 Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
*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
- 10D2081407
- Facility Type
- Physician Office
- Certificate Effective Date
- October 27, 2024
- Certificate Expiration Date
- October 26, 2026
- Laboratory Director
- LEONARD A. SHVARTZMAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Precision Dermatology And Skin Surgery Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 5 | 5 | 3 | 6 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 10 | 5 | 6 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 0 + 5 + 6 + 6 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1336553619 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699857037 | DR. BRIAN LEWIS SCHWAM M.D. Individual | Ophthalmology | 1550 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 356-2744 |
| 1598936262 | PRECISION OPTICAL Organization | Durable Medical Equipment & Medical Supplies (Customized Equipment) | 1550 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 354-1021 |
| 1497031249 | PAUL V JONES, INC. Organization | Ophthalmology | 1550 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 355-2654 |
| 1669658480 | MR. DOUG HUGH STEWART L.D.O. Individual | Technician/Technologist (Optician) | 1550 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 354-1021 |
| 1891733341 | DREAMA SUE JENKINS-PILCHER MD Individual | Dermatology | 1550 RIVERSIDE AVE SUITE A JACKSONVILLE, FL 32204 (904) 923-6647 |
| 1639802051 | DR. PROSPERADOR SINON TAGUBA DMD Individual | Dentist | 1550 RIVERSIDE AVE JACKSONVILLE, FL 32204 (305) 274-1274 |
| 1417947961 | DR. LEONARD A SHVARTZMAN MD Individual | Dermatology (MOHS-Micrographic Surgery) | 1550 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 613-3966 |
| 1760214530 | EGAO PLLC Organization | Dentist (General Practice) | 1550 RIVERSIDE AVE JACKSONVILLE, FL 32204 (518) 466-4294 |
| 1043900590 | KAITLYN MICHELLE FAGAN PA Individual | Physician Assistant | 1550 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 923-6647 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336553619, enumerated in the NPI registry as an "organization" on June 16, 2014
The provider is located at 1550 Riverside Ave Jacksonville, Fl 32204 and the phone number is (904) 613-3966
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Aetna CVS Health and AvMed. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2081407 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on June 16, 2014. 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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