OURHEALTH PHYSICIANS GROUP, LLC
NPI 1740804566
Clinic/Center in Orlando, FL

NPI Status: Active since June 08, 2020

Contact Information

6277 SEA HARBOR DR
ORLANDO, FL
ZIP 32821
Phone: (866) 434-3255

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  • Organization
  • Clinic/Center
  • CLIA Number: 10D2190398
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-12-2026

About OURHEALTH PHYSICIANS GROUP, LLC

This page provides the complete NPI Profile along with additional information for Ourhealth Physicians Group, Llc, a provider established in Orlando, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1740804566 assigned on June 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jared David Jackson (President)

NPI
1740804566
Provider Name
OURHEALTH PHYSICIANS GROUP, LLC
Entity Type
Organization
Location Address
6277 SEA HARBOR DR ORLANDO, FL 32821
Location Phone
(866) 434-3255
Mailing Address
10 W MARKET ST STE 2900 INDIANAPOLIS, IN 46204
Mailing Phone
(317) 294-9682
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2020
Last Update Date
06-08-2020
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

JARED DAVID JACKSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(317) 294-9682

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
10D2190398
Facility Type
Physician Office
Certificate Effective Date
August 13, 2024
Certificate Expiration Date
August 12, 2026
Laboratory Director
JUSTINE KURODA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ourhealth Physicians Group, 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.
1740804566
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27801608512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 6 + 0 + 8 + 5 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1740804566 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760991756 JUSTINE KURODA ARNP, CRNP
Individual
Nurse Practitioner (Family)6277 SEA HARBOR DR
ORLANDO, FL 32821
(689) 210-0520
1588483598EVERNORTH DIRECT HEALTH LLC
Organization
Clinic/Center6277 SEA HARBOR DR
ORLANDO, FL 32821
(623) 277-1190

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740804566, enumerated in the NPI registry as an "organization" on June 08, 2020

The provider is located at 6277 Sea Harbor Dr Orlando, Fl 32821 and the phone number is (866) 434-3255

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 10D2190398 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 June 08, 2020. 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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