PALM COAST INTERNAL MEDICINE PA
NPI 1427194968
Internal Medicine - Adolescent Medicine in Palm Coast, FL

NPI Status: Active since January 30, 2007

Contact Information

21 HOSPITAL DR
SUITE 280
PALM COAST, FL
ZIP 32164
Phone: (386) 437-4711

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  • Organization
  • Internal Medicine
  • Adolescent Medicine

About PALM COAST INTERNAL MEDICINE PA

This page provides the complete NPI Profile along with additional information for Palm Coast Internal Medicine Pa, an internist established in Palm Coast, Florida operating as a Internal Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1427194968 assigned on January 2007. The practitioner's primary taxonomy code is 207RA0000X with license number ME78172 (FL). The provider is registered as an organization and their NPI record was last updated 17 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 Philip Goodwin M.d. (President)

NPI
1427194968
Provider Name
PALM COAST INTERNAL MEDICINE PA
Entity Type
Organization
Location Address
21 HOSPITAL DR SUITE 280 PALM COAST, FL 32164
Location Phone
(386) 437-4711
Mailing Address
21 HOSPITAL DR SUITE 280 PALM COAST, FL 32164
Mailing Phone
(386) 437-4711
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2007
Last Update Date
09-04-2008
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An internist like Palm Coast Internal Medicine Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine Adolescent Medicine

Taxonomy Code
207RA0000X
Type
Allopathic & Osteopathic Physicians
License No.
ME78172
License State
FL
Taxonomy Description
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

PHILIP GOODWIN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(386) 437-4711

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GO2491MEDICARE UPIN (02)FL 
K5648MEDICARE PIN (08)FL 

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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.
1427194968
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447298912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 9 + 8 + 9 + 1 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1427194968 is valid because the calculated check digit 8 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
1356373054DR. STEVEN JOSEPH BROWN M.D.
Individual
Obstetrics & Gynecology (Gynecology)21 HOSPITAL DR SUITE 270
PALM COAST, FL 32164
(386) 437-5959
1811915747DR. NICKOLAS JOHN COLLUCCI D.O.
Individual
Phlebology21 HOSPITAL DR SUITE 260
PALM COAST, FL 32164
(386) 586-5344
1174545479DR. CHARLES I STEIN MD
Individual
Phlebology21 HOSPITAL DR SUITE 260
PALM COAST, FL 32164
(386) 586-5344
1457474728DR. ANTONIO SISON VICENCIO III M.D.
Individual
Family Medicine21 HOSPITAL DR SUITE 230
PALM COAST, FL 32164
(386) 586-3466
1932329653DENNIS T ALTER MD PA
Organization
Specialist21 HOSPITAL DR SUITE 110
PALM COAST, FL 32164
(386) 586-1370
1265624852SJB MD PA
Organization
Obstetrics & Gynecology (Gynecology)21 HOSPITAL DR SUITE 270
PALM COAST, FL 32164
(386) 437-5959
1548440316DR. BANDELE OLATOKUNBO OREBANWO MD
Individual
Family Medicine21 HOSPITAL DR SUITE 120
PALM COAST, FL 32164
(386) 586-4280
1174792642ATLANTIC UROLOGICAL ASSOCIATES P A
Organization
Urology21 HOSPITAL DR SUITE 140
PALM COAST, FL 32164
(386) 445-8530
1558530006EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Organization
Radiology (Diagnostic Radiology)21 HOSPITAL DR SUITE 130
PALM COAST, FL 32164
(386) 274-7118
1912177577FAMILY MEDICAL CARE OF PALM COAST LLC
Organization
Family Medicine21 HOSPITAL DR SUITE 230
PALM COAST, FL 32164
(386) 586-3466
1962644914IPS OF PALM COAST LLC
Organization
Anesthesiology21 HOSPITAL DR STE 220
PALM COAST, FL 32164
(386) 263-6020
1396987350SPINECARE OF PALM COAST LLC
Organization
Pain Medicine (Interventional Pain Medicine)21 HOSPITAL DR STE 220
PALM COAST, FL 32164
(386) 263-6020
1598907552MUA CENTER OF PALM COAST LLC
Organization
Clinic/Center (Pain)21 HOSPITAL DR STE 220
PALM COAST, FL 32164
(386) 263-6020
1578854477FLORIDA WOMAN CARE, LLC
Organization
Obstetrics & Gynecology21 HOSPITAL DR SUITE 270
PALM COAST, FL 32164
(386) 437-5959
1689893224VEIN TREATMENT CENTER OF PALM COAST P A
Organization
Phlebology21 HOSPITAL DR SUITE 260
PALM COAST, FL 32164
(386) 586-5344
1033500624COASTAL FAMILY HEALTHCARE LLC
Organization
Family Medicine21 HOSPITAL DR SUITE 280
PALM COAST, FL 32164
(386) 437-4711
1891181194CHAMION N. OLIVIER MD PA
Organization
Internal Medicine (Infectious Disease)21 HOSPITAL DR SUITE 290
PALM COAST, FL 32164
(386) 263-8855
1326359274 CAROLINE M SARGEANT ARNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)21 HOSPITAL DR SUITE 270
PALM COAST, FL 32164
(386) 437-5959
1396918579TOWN CENTER FAMILY CARE LLC
Organization
Family Medicine21 HOSPITAL DR STE 290
PALM COAST, FL 32164
(386) 473-7977
1376595835TOMOKA EYE ASSOCIATES, P.A.
Organization
Durable Medical Equipment & Medical Supplies (Customized Equipment)21 HOSPITAL DR SUITE 160
PALM COAST, FL 32164
(386) 586-3711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427194968, enumerated in the NPI registry as an "organization" on January 30, 2007

The provider is located at 21 Hospital Dr Suite 280 Palm Coast, Fl 32164 and the phone number is (386) 437-4711

This medical organization specializes in Internal Medicine with taxonomy code 207RA0000X with a focus in Adolescent Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 30, 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].
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.