PHYSICIANS PROFESSIONAL ALLIANCE, LLC
NPI 1477179463
Surgery in Brandon, FL
NPI Status: Active since June 25, 2020
Contact Information
519 MEDICAL OAKS AVE
BRANDON, FL
ZIP 33511
Phone: (813) 685-7995
Fax: (813) 685-8802
- Organization
- Surgery
- CLIA Number: 10D1053890
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-07-2026
About PHYSICIANS PROFESSIONAL ALLIANCE, LLC
This page provides the complete NPI Profile along with additional information for Physicians Professional Alliance, Llc, a provider established in Brandon, Florida operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1477179463 assigned on June 2020. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Physicians Professional Alliance, 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. Gopal S Grandhige Md (Treasurer)
- NPI
- 1477179463
- Provider Name
- PHYSICIANS PROFESSIONAL ALLIANCE, LLC
- Entity Type
- Organization
- Location Address
- 519 MEDICAL OAKS AVE BRANDON, FL 33511
- Location Phone
- (813) 685-7995
- Location Fax
- (813) 685-8802
- Mailing Address
- 519 MEDICAL OAKS AVE BRANDON, FL 33511
- Mailing Phone
- (813) 685-7995
- Mailing Fax
- (813) 685-8802
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-25-2020
- Last Update Date
- 07-06-2020
- Code Navigator
A surgeon like Physicians Professional Alliance, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D1053890
- Facility Type
- Physician Office
- Certificate Effective Date
- May 08, 2024
- Certificate Expiration Date
- May 07, 2026
- Laboratory Director
- DR. GREGORY A. BRONNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Physicians Professional Alliance, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 7 | 7 | 1 | 7 | 9 | 4 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 2 | 7 | 18 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 2 + 7 + 1 + 8 + 4 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1477179463 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 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396743167 | DR. DONOVAN N. TAPPER M.D. Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1174849277 | DR. JEFFREY SCOTT MINO M.D. Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1114935178 | DR. MICHAEL G SIEGMAN MD Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1083646350 | DR. IN SOON PARK MD Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1194998997 | DR. ERIC EDWARD CAPRILES M.D Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1356524854 | DR. RICHARD GORDON PICCIOCCA JR. M.D. Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1376865261 | DR. CRISTIANO VIDOLIN ALPENDRE M.D. Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1689134439 | DR. LARA FAROUK APPIAH MD Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1730326315 | DR. FRANCISCO HILARIO ITRIAGO MD Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1780710020 | SUNCOAST SURGICAL ASSOCIATES P A Organization | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
| 1437619483 | ANTHONY NAGIB DO Individual | Surgery | 519 MEDICAL OAKS AVE BRANDON, FL 33511 (813) 685-7995 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477179463, enumerated in the NPI registry as an "organization" on June 25, 2020
The provider is located at 519 Medical Oaks Ave Brandon, Fl 33511 and the phone number is (813) 685-7995
This medical organization specializes in Surgery with taxonomy code 208600000X
The provider's CLIA number is 10D1053890 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 25, 2020. 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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