SPARTAN ORTHOPEDIC INSTITUTE
NPI 1386160513
Orthopaedic Surgery - Sports Medicine in St Augustine, FL

NPI Status: Active since August 18, 2017

Contact Information

475 W TOWN PL STE 106
ST AUGUSTINE, FL
ZIP 32092
Phone: (904) 466-1179
Fax: (904) 823-8967

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  • Organization
  • Orthopaedic Surgery
  • Sports Medicine

About SPARTAN ORTHOPEDIC INSTITUTE

This page provides the complete NPI Profile along with additional information for Spartan Orthopedic Institute, a provider established in St Augustine, Florida operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1386160513 assigned on August 2017. The practitioner's primary taxonomy code is 207XX0005X with license number OS7217 (FL). The provider is registered as an organization and their NPI record was last updated 3 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 provider's is doing business as Spartan Orthopedic Institute. The authorized official of this NPI record is Tod Northrup (Medical Director, Owner)

NPI
1386160513
Provider Legal Name
ORTHONORTHRUP PA
Other Organization Name
SPARTAN ORTHOPEDIC INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
475 W TOWN PL STE 106 ST AUGUSTINE, FL 32092
Location Phone
(904) 466-1179
Location Fax
(904) 823-8967
Mailing Address
PO BOX 4389 ST AUGUSTINE, FL 32085
Mailing Phone
(904) 466-1197
Mailing Fax
(904) 823-8967
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2017
Last Update Date
07-21-2022
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Location Map

Secondary Locations

  • 150 Southpark Blvd Ste 102
    St Augustine, FL 32086
    (904) 823-3764

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

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
License No.
OS7217
License State
FL
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

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.

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

TOD NORTHRUP

Authorized Official Title
MEDICAL DIRECTOR, OWNER
Authorized Official Phone
(904) 466-1197

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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.
1386160513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316626052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 2 + 6 + 0 + 5 + 2 + 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 = 33

The NPI number 1386160513 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386622496DR. TOD NORTHRUP D.O.
Individual
Orthopaedic Surgery (Sports Medicine)475 W TOWN PL STE 106
ST AUGUSTINE, FL 32092
(904) 466-1197

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386160513, enumerated in the NPI registry as an "organization" on August 18, 2017

The provider is located at 475 W Town Pl Ste 106 St Augustine, Fl 32092 and the phone number is (904) 466-1179

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine

This NPI record was last updated on August 18, 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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