PRESTIGE DERMATOLOGY
NPI 1417241332
Dermatology in New Port Richey, FL

NPI Status: Active since June 08, 2011

Contact Information

4546 GRAND BLVD
NEW PORT RICHEY, FL
ZIP 34652
Phone: (727) 849-1447

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  • Organization
  • Dermatology

About PRESTIGE DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Prestige Dermatology, a provider established in New Port Richey, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1417241332 assigned on June 2011. The practitioner's primary taxonomy code is 207N00000X with license number OS7718 (FL). The provider is registered as an organization and their NPI record was last updated 14 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 Prestige Dermatology. The authorized official of this NPI record is Mr. Stephen M Jenks (Director/ceo)

NPI
1417241332
Provider Legal Name
CANDESCENT PRESTIGE LLC
Other Organization Name
PRESTIGE DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4546 GRAND BLVD NEW PORT RICHEY, FL 34652
Location Phone
(727) 849-1447
Mailing Address
4546 GRAND BLVD NEW PORT RICHEY, FL 34652
Mailing Phone
(727) 849-1447
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2011
Last Update Date
06-08-2011
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A dermatologist like Prestige Dermatology 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.

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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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS7718
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.

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

MR. STEPHEN M JENKS

Authorized Official Title
DIRECTOR/CEO
Authorized Official Phone
(617) 262-1450

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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.
1417241332
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242744236
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 4 + 4 + 2 + 3 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1417241332 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720731813 SHELLY CHURCHILL
Individual
Nurse Practitioner (Gerontology)4546 GRAND BLVD
NEW PORT RICHEY, FL 34652
(727) 390-6082
1174533137DR. DAVID MICHAEL MAYER MD
Individual
Internal Medicine4546 GRAND BLVD
NEW PORT RICHEY, FL 34652
(844) 665-4827
1720761604GUIDEWELL SANITAS I, LLC
Organization
Clinic/Center (Multi-Specialty)4546 GRAND BLVD
NEW PORT RICHEY, FL 34652
(844) 665-4827

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417241332, enumerated in the NPI registry as an "organization" on June 08, 2011

The provider is located at 4546 Grand Blvd New Port Richey, Fl 34652 and the phone number is (727) 849-1447

This medical organization specializes in Dermatology with taxonomy code 207N00000X

This NPI record was last updated on June 08, 2011. 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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