NORTHWEST FLORIDA WOMENS CANCER CARE LLC
NPI 1710172416
Obstetrics & Gynecology in Fort Walton Beach, FL
NPI Status: Active since September 06, 2007
Contact Information
1032 MAR WALT DR
SUITE 250
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-2021
- Organization
- Obstetrics & Gynecology
- CLIA Number: 10D2287962
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-17-2025
About NORTHWEST FLORIDA WOMENS CANCER CARE LLC
This page provides the complete NPI Profile along with additional information for Northwest Florida Womens Cancer Care Llc, a women's health care provider established in Fort Walton Beach, Florida operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1710172416 assigned on September 2007. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 17 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 authorized official of this NPI record is Mickey Pickler (Vp)
- NPI
- 1710172416
- Provider Name
- NORTHWEST FLORIDA WOMENS CANCER CARE LLC
- Entity Type
- Organization
- Location Address
- 1032 MAR WALT DR SUITE 250 FORT WALTON BEACH, FL 32547
- Location Phone
- (850) 862-2021
- Mailing Address
- 1032 MAR WALT DR SUITE 250 FORT WALTON BEACH, FL 32547
- Mailing Phone
- (850) 862-2021
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2007
- Last Update Date
- 06-11-2008
- Code Navigator
Women's health care providers like Northwest Florida Womens Cancer Care Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Group Taxonomy 193400000X 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.
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 |
|---|---|---|---|
| DH0756 | MEDICARE PIN (08) | FL |
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
- 10D2287962
- Facility Type
- Physician Office
- Certificate Effective Date
- August 18, 2023
- Certificate Expiration Date
- August 17, 2025
- Laboratory Director
- ERIC SANDWITH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northwest Florida Womens Cancer Care Llc 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. | |||||||||
| 1 | 7 | 1 | 0 | 1 | 7 | 2 | 4 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 2 | 7 | 4 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 2 + 7 + 4 + 4 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1710172416 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609872688 | DR. JOHN ROBERT BRENT M.D. Individual | Surgery | 1032 MAR WALT DR STE 220 FORT WALTON BEACH, FL 32547 (850) 796-3737 |
| 1417940339 | JOSEPH DANIEL SIEFKER M.D. Individual | Otolaryngology (Plastic Surgery within the Head & Neck) | 1032 MAR WALT DR SUITE 100 FORT WALTON BEACH, FL 32547 (850) 796-1368 |
| 1912928896 | FT WALTON BEACH INTERNAL MEDICINE LLC Organization | Internal Medicine | 1032 MAR WALT DR SUITE 230 FORT WALTON BEACH, FL 32547 (850) 862-0318 |
| 1679762611 | JOHN R. BRENT MD PA Organization | Specialist | 1032 MAR WALT DR SUITE 220 FORT WALTON BEACH, FL 32547 (850) 796-3737 |
| 1275873275 | TIMOTHY M BRADLEY,MD SC Organization | Plastic Surgery | 1032 MAR WALT DR SUITE 240 FORT WALTON BEACH, FL 32547 (850) 533-0865 |
| 1205175635 | BARNETT FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, PA. Organization | Otolaryngology (Plastic Surgery within the Head & Neck) | 1032 MAR WALT DR SUITE 100 FORT WALTON BEACH, FL 32547 (504) 914-7696 |
| 1174519441 | ERIC L SANDWITH MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1032 MAR WALT DR SUITE 230 FORT WALTON BEACH, FL 32547 (850) 862-3194 |
| 1447235577 | DR. ROBERT P FELDMAN M.D. Individual | Neurological Surgery | 1032 MAR WALT DR SUITE 250 FORT WALTON BEACH, FL 32547 (850) 863-3463 |
| 1790912269 | NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC Organization | Neurological Surgery | 1032 MAR WALT DR SUITE 250 FORT WALTON BEACH, FL 32547 (850) 863-3463 |
| 1265477574 | EMERALD COAST EAR, NOSE, THROAT & ALLERGIES, P.A. Organization | Health Maintenance Organization | 1032 MAR WALT DR SUITE 100 FORT WALTON BEACH, FL 32547 (850) 796-1368 |
| 1295769263 | BEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA Organization | Orthopaedic Surgery | 1032 MAR WALT DR SUITE 210 FORT WALTON BEACH, FL 32547 (850) 664-5633 |
| 1831122803 | KENNETH ROBERT ELLISON PA Individual | Physician Assistant (Medical) | 1032 MAR WALT DR SUITE 250 FORT WALTON BEACH, FL 32547 (850) 863-3463 |
| 1235962028 | WHITE SANDS PODIATRY LLC Organization | Podiatrist (Foot & Ankle Surgery) | 1032 MAR WALT DR STE 100 FORT WALTON BEACH, FL 32547 (850) 622-1607 |
| 1457329591 | THOMAS ZACHOS M.D. Individual | Urology | 1032 MAR WALT DR SUITE 240 FORT WALTON BEACH, FL 32547 (850) 863-0883 |
| 1164163325 | NIKKOLE NUNEZ TOWN Individual | Nurse Practitioner (Family) | 1032 MAR WALT DR FORT WALTON BEACH, FL 32547 (850) 863-8260 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710172416, enumerated in the NPI registry as an "organization" on September 06, 2007
The provider is located at 1032 Mar Walt Dr Suite 250 Fort Walton Beach, Fl 32547 and the phone number is (850) 862-2021
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
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.
The provider's CLIA number is 10D2287962 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 06, 2007. 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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