SURGICAL CENTER OF PONTE VEDRA BEACH, LLC
NPI 1497159255
Clinic/Center - Ambulatory Surgical in Ponte Vedra Beach, FL

NPI Status: Active since October 22, 2014

Contact Information

1030 A1A N
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 285-1199

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About SURGICAL CENTER OF PONTE VEDRA BEACH, LLC

This page provides the complete NPI Profile along with additional information for Surgical Center Of Ponte Vedra Beach, Llc, a provider established in Ponte Vedra Beach, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1497159255 assigned on October 2014. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Nancy K Kastner (Administrator)

NPI
1497159255
Provider Name
SURGICAL CENTER OF PONTE VEDRA BEACH, LLC
Entity Type
Organization
Location Address
1030 A1A N PONTE VEDRA BEACH, FL 32082
Location Phone
(904) 285-1199
Mailing Address
1030 A1A N PONTE VEDRA BEACH, FL 32082
Mailing Phone
(904) 285-1199
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2014
Last Update Date
10-22-2014
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

NANCY K KASTNER

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(407) 256-0933

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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.
1497159255
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241872518210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 2 + 5 + 1 + 8 + 2 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1497159255 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225050974PONTE VEDRA BCH SURGERY CLINIC
Organization
Clinic/Center (Ambulatory Surgical)1030 A1A N
PONTE VEDRA BEACH, FL 32082
(904) 285-7202
1093077257PONTE VEDRA BEACH SURGERY CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)1030 A1A N
PONTE VEDRA BEACH, FL 32082
(904) 285-7202
1154741189SURGERY CENTER OF PONTE VEDRA BEACH LLC
Organization
Clinic/Center (Ambulatory Surgical)1030 A1A N
PONTE VEDRA BEACH, FL 32082
(904) 285-7202
1609269232SURGICAL CENTER OF PONTE VEDRA BEACH LLC
Organization
Clinic/Center (Ambulatory Surgical)1030 A1A N
PONTE VEDRA BEACH, FL 32082
(907) 285-1199
1295749968DR. JEREMY SHAWN MIRABILE M.D. ABPM-ADM, FASAM
Individual
Family Medicine (Addiction Medicine)1030 A1A N
PONTE VEDRA BEACH, FL 32082
(904) 551-1394
1548031867RECOVERY KEYS, INC
Organization
Substance Abuse Rehabilitation Facility1030 A1A N
PONTE VEDRA BEACH, FL 32082
(904) 551-1394

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497159255, enumerated in the NPI registry as an "organization" on October 22, 2014

The provider is located at 1030 A1a N Ponte Vedra Beach, Fl 32082 and the phone number is (904) 285-1199

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

This NPI record was last updated on October 22, 2014. 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.