FORT MYERS DERMATOPATHOLOGY
NPI 1366657629
Dermatology - Procedural Dermatology in Estero, FL
NPI Status: Active since May 11, 2007
Contact Information
9250 CORKSCREW RD
SUITE 5
ESTERO, FL
ZIP 33928
Phone: (239) 274-0005
Fax: (239) 278-4718
- Organization
- Dermatology
- Procedural Dermatology
- CLIA Number: 10D1012626
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 06-30-2025
About FORT MYERS DERMATOPATHOLOGY
This page provides the complete NPI Profile along with additional information for Fort Myers Dermatopathology, a provider established in Estero, Florida operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1366657629 assigned on May 2007. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 5 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 Mazen Daoud Md (President)
- NPI
- 1366657629
- Provider Name
- FORT MYERS DERMATOPATHOLOGY
- Entity Type
- Organization
- Location Address
- 9250 CORKSCREW RD SUITE 5 ESTERO, FL 33928
- Location Phone
- (239) 274-0005
- Location Fax
- (239) 278-4718
- Mailing Address
- 8381 RIVERWALK PARK BLVD SUITE 202 FORT MYERS, FL 33919
- Mailing Phone
- (239) 274-0005
- Mailing Fax
- (239) 278-4718
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-11-2007
- 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
Dermatology Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Group Taxonomy 193400000X 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.
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
- 10D1012626
- Facility Type
- Independent
- Certificate Effective Date
- June 25, 2023
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- DR. MAZEN DAOUD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Fort Myers Dermatopathology 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 | 6 | 6 | 6 | 5 | 7 | 6 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 12 | 5 | 14 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 2 + 5 + 1 + 4 + 6 + 4 + 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 1366657629 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 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477554590 | RICARDO BENDECK M.D. Individual | Family Medicine | 9250 CORKSCREW RD ESTERO, FL 33928 (239) 948-1310 |
| 1740219849 | CHIROPRACTIC CARE AND REHAB CENTER Organization | Chiropractor | 9250 CORKSCREW RD STE 4 ESTERO, FL 33928 (239) 495-1166 |
| 1932139805 | DR. CHRISTOPHER MICHAEL GREEN D.C. Individual | Chiropractor | 9250 CORKSCREW RD STE 4 ESTERO, FL 33928 (239) 495-1166 |
| 1407863897 | DIANE ELIZABETH CARROLL PT Individual | Physical Therapist | 9250 CORKSCREW RD SUITE 10 ESTERO, FL 33928 (239) 498-5170 |
| 1265621726 | DARYOUSH ZAFAR DPM PA Organization | Podiatrist (Foot & Ankle Surgery) | 9250 CORKSCREW RD SUITE 7 ESTERO, FL 33928 (239) 481-7000 |
| 1588977235 | JOAN GARGIULA RICHARDS OT Individual | Occupational Therapist | 9250 CORKSCREW RD UNIT 10 ESTERO, FL 33928 (239) 390-1656 |
| 1124424098 | COASTAL PHYSICIAN CARE LLC Organization | Family Medicine | 9250 CORKSCREW RD SUITE 3 ESTERO, FL 33928 (239) 498-2528 |
| 1275993651 | ASSOCIATES IN MEDICINE & SURGERY LLC Organization | Podiatrist (Foot & Ankle Surgery) | 9250 CORKSCREW RD SUITE 7 ESTERO, FL 33928 (239) 498-4979 |
| 1538143854 | DARYOUSH A ZAFAR DPM Individual | Podiatrist (Foot & Ankle Surgery) | 9250 CORKSCREW RD SUITE 7 ESTERO, FL 33928 (239) 481-7000 |
| 1154364057 | PATRICIA ANNE CURR PT Individual | Physical Therapist | 9250 CORKSCREW RD STE 15 ESTERO, FL 33928 (239) 400-5639 |
| 1316713969 | LAURA KATHERINE DUBOIS OTR/L Individual | Occupational Therapist | 9250 CORKSCREW RD ESTERO, FL 33928 (239) 390-1656 |
| 1720039902 | PHYSIOTHERAPY ASSOCIATES INC Organization | Clinic/Center (Rehabilitation) | 9250 CORKSCREW RD SUITE 10 ESTERO, FL 33928 (239) 390-1656 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366657629, enumerated in the NPI registry as an "organization" on May 11, 2007
The provider is located at 9250 Corkscrew Rd Suite 5 Estero, Fl 33928 and the phone number is (239) 274-0005
This medical organization specializes in Dermatology with taxonomy code 207NS0135X with a focus in Procedural Dermatology
The provider's CLIA number is 10D1012626 for a "independent" 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 May 11, 2007. 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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