MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES LLC
NPI 1467605634
Specialist in Lake Wales, FL

NPI Status: Active since October 31, 2008

Contact Information

1255 STATE ROAD 60 EAST
LAKE WALES, FL
ZIP 33853
Phone: (863) 232-5111
Fax: (866) 922-0875

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About MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES LLC

This page provides the complete NPI Profile along with additional information for Multi-specialty & Primary Care Practice Group Of Lake Wales Llc, a provider established in Lake Wales, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1467605634 assigned on October 2008. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Multi-specialty & Primary Care Practice Group Of Lake Wales Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Kollagunta S Chandrasekhar M.d. (Owner)

NPI
1467605634
Provider Name
MULTI-SPECIALTY & PRIMARY CARE PRACTICE GROUP OF LAKE WALES LLC
Entity Type
Organization
Location Address
1255 STATE ROAD 60 EAST LAKE WALES, FL 33853
Location Phone
(863) 232-5111
Location Fax
(866) 922-0875
Mailing Address
1255 STATE ROAD 60 EAST LAKE WALES, FL 33853
Mailing Phone
(863) 232-5111
Mailing Fax
(866) 922-0875
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-31-2008
Last Update Date
04-08-2009
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

DR. KOLLAGUNTA S CHANDRASEKHAR M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(863) 294-5505

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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.
1467605634
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271201066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 2 + 0 + 1 + 0 + 6 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1467605634 is valid because the calculated check digit 4 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
1518102409MEDICAL IMAGING EXPERTS OF CENTRAL FLORIDA, LLC
Organization
Specialist1255 STATE ROAD 60 EAST
LAKE WALES, FL 33853
(863) 232-5111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467605634, enumerated in the NPI registry as an "organization" on October 31, 2008

The provider is located at 1255 State Road 60 East Lake Wales, Fl 33853 and the phone number is (863) 232-5111

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on October 31, 2008. 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.