PRIMARY CARE CENTER OF LYNN HAVEN
NPI 1700803624
Internal Medicine in Lynn Haven, FL

NPI Status: Active since July 16, 2006

Contact Information

825 FLORIDA AVE
LYNN HAVEN, FL
ZIP 32444
Phone: (850) 265-3686
Fax: (850) 271-5665

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  • Organization
  • Internal Medicine

About PRIMARY CARE CENTER OF LYNN HAVEN

This page provides the complete NPI Profile along with additional information for Primary Care Center Of Lynn Haven, an internist established in Lynn Haven, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1700803624 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Primary Care Center Of Lynn Haven 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 Dr. Asim J Khattak M.d. (Owner)

NPI
1700803624
Provider Name
PRIMARY CARE CENTER OF LYNN HAVEN
Entity Type
Organization
Location Address
825 FLORIDA AVE LYNN HAVEN, FL 32444
Location Phone
(850) 265-3686
Location Fax
(850) 271-5665
Mailing Address
PO BOX 1199 LYNN HAVEN, FL 32444
Mailing Phone
(850) 265-3686
Mailing Fax
(850) 271-5665
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2006
Last Update Date
10-26-2011
Code Navigator

An internist like Primary Care Center Of Lynn Haven is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

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

DR. ASIM J KHATTAK M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(850) 265-3686

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
1700803624OTHER (01)FLNPI
AB975MEDICARE PIN (08)FL 
276096700MEDICAID (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.
1700803624
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700160664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 6 + 0 + 6 + 6 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1700803624 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306803556PRIMARY CARE CENTER, P.A.
Organization
Internal Medicine825 FLORIDA AVE
LYNN HAVEN, FL 32444
(850) 265-3686
1881469559BLEI GROUP LLC
Organization
Clinic/Center (Medical Specialty)825 FLORIDA AVE
LYNN HAVEN, FL 32444
(850) 265-3686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700803624, enumerated in the NPI registry as an "organization" on July 16, 2006

The provider is located at 825 Florida Ave Lynn Haven, Fl 32444 and the phone number is (850) 265-3686

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

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 16, 2006. 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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