SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1467188821
Durable Medical Equipment & Medical Supplies in St Augustine, FL
NPI Status: Active since July 28, 2022
Contact Information
1690 US HIGHWAY 1 S
ST AUGUSTINE, FL
ZIP 32084
Phone: (904) 634-0640
Fax: (904) 634-0203
- Organization
- Durable Medical Equipment & Medical Supp...
About SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
This page provides the complete NPI Profile along with additional information for Southeast Orthopedic Specialists, Llc, a provider established in St Augustine, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1467188821 assigned on July 2022. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Brett Puckett Md (Md)
- NPI
- 1467188821
- Provider Name
- SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
- Entity Type
- Organization
- Location Address
- 1690 US HIGHWAY 1 S ST AUGUSTINE, FL 32084
- Location Phone
- (904) 634-0640
- Location Fax
- (904) 634-0203
- Mailing Address
- 6800 SOUTHPOINT PKWY STE 300 JACKSONVILLE, FL 32216
- Mailing Phone
- (904) 634-0640
- Mailing Fax
- (904) 634-0203
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-28-2022
- Last Update Date
- 03-31-2023
- 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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 | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier |
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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 | 4 | 6 | 7 | 1 | 8 | 8 | 8 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 2 | 8 | 16 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 2 + 8 + 1 + 6 + 8 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1467188821 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558593194 | LUKE JARED RETHERFORD OTR/L Individual | Occupational Therapist (Physical Rehabilitation) | 1690 US HIGHWAY 1 S SAINT AUGUSTINE, FL 32084 (904) 810-2101 |
| 1902167992 | STEVE FELL Individual | Clinic/Center (Physical Therapy) | 1690 US HIGHWAY 1 S SUITE A SAINT AUGUSTINE, FL 32084 (904) 180-2101 |
| 1376871590 | KRISTINA MARIE BRANDON DPT Individual | Physical Therapist | 1690 US HIGHWAY 1 S SUITE A ST AUGUSTINE, FL 32084 (904) 810-2101 |
| 1164143905 | SOUTHEAST ORTHOPEDIC SPECIALISTS, INC Organization | Non-Pharmacy Dispensing Site | 1690 US HIGHWAY 1 S ST AUGUSTINE, FL 32084 (904) 634-0640 |
| 1144921115 | SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC Organization | Orthopaedic Surgery | 1690 US HIGHWAY 1 S ST AUGUSTINE, FL 32084 (904) 634-0203 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467188821, enumerated in the NPI registry as an "organization" on July 28, 2022
The provider is located at 1690 Us Highway 1 S St Augustine, Fl 32084 and the phone number is (904) 634-0640
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
This NPI record was last updated on July 28, 2022. 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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