COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
NPI 1639842453
Orthopaedic Surgery in Naples, FL

NPI Status: Active since July 28, 2021

Contact Information

8340 COLLIER BLVD STE 103
NAPLES, FL
ZIP 34114
Phone: (239) 348-4221
Fax: (239) 417-9567

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  • Organization
  • Orthopaedic Surgery

About COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Collier Boulevard Hma Physician Management Llc, a provider established in Naples, Florida operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1639842453 assigned on July 2021. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Collier Boulevard Hma Physician Management Llc. The authorized official of this NPI record is Jennifer L Jackson (Sr Dir Prov Enrollment & Onboarding)

NPI
1639842453
Provider Legal Name
COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Other Organization Name
COLLIER BOULEVARD HMA PHYSICIAN MANAGEMENT LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8340 COLLIER BLVD STE 103 NAPLES, FL 34114
Location Phone
(239) 348-4221
Location Fax
(239) 417-9567
Mailing Address
PO BOX 689022 FRANKLIN, TN 37068
Mailing Phone
(615) 465-7211
Mailing Fax
(239) 417-9567
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2021
Last Update Date
03-14-2022
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

 
2208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
4363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 
5363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JENNIFER L JACKSON

Authorized Official Title
SR DIR PROV ENROLLMENT & ONBOARDING
Authorized Official Phone
(615) 465-3334

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001609622MEDICAID (05)FL 

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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.
1639842453
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691644410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 6 + 4 + 4 + 4 + 1 + 0 + 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 1639842453 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
1073564936 PATRICIA MARIE FRY PA-C
Individual
Physician Assistant8340 COLLIER BLVD STE 103
NAPLES, FL 34114
(239) 348-4221
1124696919COLLIER HMA PHYSICIAN MANAGEMENT LLC
Organization
Orthopaedic Surgery8340 COLLIER BLVD STE 103
NAPLES, FL 34114
(239) 348-4420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639842453, enumerated in the NPI registry as an "organization" on July 28, 2021

The provider is located at 8340 Collier Blvd Ste 103 Naples, Fl 34114 and the phone number is (239) 348-4221

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 28, 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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