STAR ORTHOPEDICS AND SPINE OF FORT MYERS LLC
NPI 1669283495
Orthopaedic Surgery in Fort Myers, FL

NPI Status: Active since January 20, 2025

Contact Information

12610 WORLD PLAZA LN UNIT 61-2
FORT MYERS, FL
ZIP 33907
Phone: (561) 699-6373

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  • Organization
  • Orthopaedic Surgery

About STAR ORTHOPEDICS AND SPINE OF FORT MYERS LLC

This page provides the complete NPI Profile along with additional information for Star Orthopedics And Spine Of Fort Myers Llc, a provider established in Fort Myers, Florida operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1669283495 assigned on January 2025. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Star Orthopedics And Spine Of Fort Myers 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 Hillary Koerner (Coo)

NPI
1669283495
Provider Name
STAR ORTHOPEDICS AND SPINE OF FORT MYERS LLC
Entity Type
Organization
Location Address
12610 WORLD PLAZA LN UNIT 61-2 FORT MYERS, FL 33907
Location Phone
(561) 699-6373
Mailing Address
1020 W OAK ST KISSIMMEE, FL 34741
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2025
Last Update Date
01-20-2025
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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)
1261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 

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

HILLARY KOERNER

Authorized Official Title
COO
Authorized Official Phone
(561) 699-6373

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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.
1669283495
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129486418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 4 + 8 + 6 + 4 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1669283495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669283495, enumerated in the NPI registry as an "organization" on January 20, 2025

The provider is located at 12610 World Plaza Ln Unit 61-2 Fort Myers, Fl 33907 and the phone number is (561) 699-6373

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

This NPI record was last updated on January 20, 2025. 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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