UPPERLINE HEALTHCARE, PC
NPI 1639904964
Podiatrist - Foot & Ankle Surgery in Daytona Beach, FL

NPI Status: Active since September 05, 2024

Contact Information

1890 LPGA BLVD STE 250
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 339-4065
Fax: (855) 439-9682

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • CLIA Number: 10D2311428
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-22-2026

About UPPERLINE HEALTHCARE, PC

This page provides the complete NPI Profile along with additional information for Upperline Healthcare, Pc, a provider established in Daytona Beach, Florida operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1639904964 assigned on September 2024. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated one year ago. Upperline Healthcare, Pc 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 David Vandiver Thorpe (Ceo)

NPI
1639904964
Provider Name
UPPERLINE HEALTHCARE, PC
Entity Type
Organization
Location Address
1890 LPGA BLVD STE 250 DAYTONA BEACH, FL 32117
Location Phone
(386) 339-4065
Location Fax
(855) 439-9682
Mailing Address
4101 CHARLOTTE AVE STE F185 NASHVILLE, TN 37209
Mailing Phone
(407) 219-5402
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2024
Last Update Date
09-05-2024
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

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

DAVID VANDIVER THORPE

Authorized Official Title
CEO
Authorized Official Phone
(205) 807-3009

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
10D2311428
Facility Type
Physician Office
Certificate Effective Date
September 23, 2024
Certificate Expiration Date
September 22, 2026
Laboratory Director
JAMES RUST
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Upperline Healthcare, Pc 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.
1639904964
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691808912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 8 + 0 + 8 + 9 + 1 + 2 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1639904964 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205390945 DANIEL S BURFIELD APRN
Individual
Nurse Practitioner (Family)1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
(386) 274-0250
1225341191 KRISTIN WUNKER NELSON P.A.
Individual
Physician Assistant (Surgical)1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
(386) 274-0250
1679117477 AMANDA BURLESON APRN
Individual
Nurse Practitioner (Acute Care)1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
(386) 274-0250
1790366086 ARASHDEEP SINGH
Individual
Podiatrist (Foot & Ankle Surgery)1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
(386) 339-4065
1689865453DR. DENNIS BRUCE MCBROOM JR. D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
(386) 339-4065
1760092118UPPERLINE HEALTHCARE, PC
Organization
Podiatrist (Foot & Ankle Surgery)1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
(386) 274-3336
1326640608UPPERLINE VEIN & VASCULAR PC
Organization
Surgery1890 LPGA BLVD STE 250
DAYTONA BEACH, FL 32117
(386) 281-3524

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639904964, enumerated in the NPI registry as an "organization" on September 05, 2024

The provider is located at 1890 Lpga Blvd Ste 250 Daytona Beach, Fl 32117 and the phone number is (386) 339-4065

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider's CLIA number is 10D2311428 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 September 05, 2024. 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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