SPACE COAST PODIATRY LLC
NPI 1740037597
Podiatrist - Foot & Ankle Surgery in Palm Bay, FL

NPI Status: Active since April 30, 2024

Contact Information

6100 MINTON RD NW STE 101
PALM BAY, FL
ZIP 32907
Phone: (321) 802-4075

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About SPACE COAST PODIATRY LLC

This page provides the complete NPI Profile along with additional information for Space Coast Podiatry Llc, a provider established in Palm Bay, Florida operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1740037597 assigned on April 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. 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 Dr. Mark Allen Vaughn Dpm (Ceo/physician)

NPI
1740037597
Provider Name
SPACE COAST PODIATRY LLC
Entity Type
Organization
Location Address
6100 MINTON RD NW STE 101 PALM BAY, FL 32907
Location Phone
(321) 802-4075
Mailing Address
6100 MINTON RD NW STE 101 PALM BAY, FL 32907
Mailing Phone
(321) 802-4075
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2024
Last Update Date
09-09-2024
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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 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.

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. MARK ALLEN VAUGHN DPM

Authorized Official Title
CEO/PHYSICIAN
Authorized Official Phone
(321) 802-4075

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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.
1740037597
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27800314518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 0 + 3 + 1 + 4 + 5 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1740037597 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477948917 MARK VAUGHN DPM
Individual
Podiatrist (Foot & Ankle Surgery)6100 MINTON RD NW STE 101
PALM BAY, FL 32907
(321) 802-4075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740037597, enumerated in the NPI registry as an "organization" on April 30, 2024

The provider is located at 6100 Minton Rd Nw Ste 101 Palm Bay, Fl 32907 and the phone number is (321) 802-4075

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

This NPI record was last updated on April 30, 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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