NEMOURS CHILDREN'S HEALTH, ST. CLOUD, PRIMARY CARE
NPI 1609445873
Pediatrics in Saint Cloud, FL

NPI Status: Active since June 22, 2021

Contact Information

909 N NARCOOSSEE RD
SAINT CLOUD, FL
ZIP 34771
Phone: (407) 237-9700

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  • Organization
  • Pediatrics
  • CLIA Number: 10D2170388
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-08-2025

About NEMOURS CHILDREN'S HEALTH, ST. CLOUD, PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Nemours Children's Health, St. Cloud, Primary Care, a pediatrician established in Saint Cloud, Florida operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1609445873 assigned on June 2021. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Nemours Children's Health, St. Cloud, Primary Care 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 Robert Bridges (Evp, Operations)

NPI
1609445873
Provider Name
NEMOURS CHILDREN'S HEALTH, ST. CLOUD, PRIMARY CARE
Entity Type
Organization
Location Address
909 N NARCOOSSEE RD SAINT CLOUD, FL 34771
Location Phone
(407) 237-9700
Mailing Address
10140 CENTURION PKWY N JACKSONVILLE, FL 32256
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-22-2021
Last Update Date
06-22-2021
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A pediatrician like Nemours Children's Health, St. Cloud, Primary Care is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

ROBERT BRIDGES

Authorized Official Title
EVP, OPERATIONS
Authorized Official Phone
(904) 697-4000

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
10D2170388
Facility Type
Physician Office
Certificate Effective Date
August 09, 2023
Certificate Expiration Date
August 08, 2025
Laboratory Director
TAINA TREVINO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Nemours Children's Health, St. Cloud, Primary Care 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.

Reviews for NEMOURS CHILDREN'S HEALTH, ST. CLOUD, PRIMARY CARE

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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.
1609445873
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26098410814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 8 + 4 + 1 + 0 + 8 + 1 + 4 + 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 = 33

The NPI number 1609445873 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770107344DR. ROWANA AHMED MOHAMED MD
Individual
Pediatrics909 N NARCOOSSEE RD
SAINT CLOUD, FL 34771
(407) 556-9898
1841082575 ARIENNA WREN CANONICO APRN
Individual
Nurse Practitioner (Pediatrics)909 N NARCOOSSEE RD
SAINT CLOUD, FL 34771
(407) 556-9898

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609445873, enumerated in the NPI registry as an "organization" on June 22, 2021

The provider is located at 909 N Narcoossee Rd Saint Cloud, Fl 34771 and the phone number is (407) 237-9700

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider's CLIA number is 10D2170388 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 22, 2021. 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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