NEUROLOGY & SPINE DISORDERS LLC
NPI 1790008811
Psychiatry & Neurology - Neurology in Port Orange, FL

NPI Status: Active since March 03, 2010

Contact Information

5111 S RIDGEWOOD AVE
SUITE 102
PORT ORANGE, FL
ZIP 32127
Phone: (386) 763-4484
Fax: (386) 763-1288

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  • Organization
  • Psychiatry & Neurology
  • Neurology

About NEUROLOGY & SPINE DISORDERS LLC

This page provides the complete NPI Profile along with additional information for Neurology & Spine Disorders Llc, a provider established in Port Orange, Florida operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1790008811 assigned on March 2010. The practitioner's primary taxonomy code is 2084N0400X with license number ME46005 (FL). The provider is registered as an organization and their NPI record was last updated 15 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 Mr. Al Falco (Ceo)

NPI
1790008811
Provider Name
NEUROLOGY & SPINE DISORDERS LLC
Entity Type
Organization
Location Address
5111 S RIDGEWOOD AVE SUITE 102 PORT ORANGE, FL 32127
Location Phone
(386) 763-4484
Location Fax
(386) 763-1288
Mailing Address
1673 MASON AVE SUITE 107 DAYTONA BEACH, FL 32117
Mailing Phone
(386) 274-7118
Mailing Fax
(386) 763-1288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2010
Last Update Date
09-08-2010
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
ME46005
License State
FL
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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.

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

MR. AL FALCO

Authorized Official Title
CEO
Authorized Official Phone
(386) 274-7118

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
DQ2689OTHER (01)FLRAILROAD MEDICARE
DC291AMEDICARE PIN (08)FL 
000EZOTHER (01)FLBLUE CROSS BLUE SHIELD

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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.
1790008811
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180001682
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 0 + 0 + 1 + 6 + 8 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1790008811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528049327 RALPH JOSEPH ZWOLINSKI MD
Individual
Psychiatry & Neurology (Neurology)5111 S RIDGEWOOD AVE SUITE 102
PORT ORANGE, FL 32127
(386) 763-4484
1770917882DR. MATTHEW DAVID LOWRY D.C.
Individual
Chiropractor5111 S RIDGEWOOD AVE SUITE 103
PORT ORANGE, FL 32127
(386) 310-8766
1194961151DR. WILLIAM LEWIS GILMER JR. M.D.
Individual
Ophthalmology5111 S RIDGEWOOD AVE SUITE 104
PORT ORANGE, FL 32127
(386) 256-1212
1669713384WL GILMER, MD, PA
Organization
Ophthalmology5111 S RIDGEWOOD AVE SUITE 104
PORT ORANGE, FL 32127
(386) 256-1212
1275818874DR. LARS LANDERS D.C.
Individual
Chiropractor (Neurology)5111 S RIDGEWOOD AVE SUITE 102
PORT ORANGE, FL 32127
(386) 366-8198

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790008811, enumerated in the NPI registry as an "organization" on March 03, 2010

The provider is located at 5111 S Ridgewood Ave Suite 102 Port Orange, Fl 32127 and the phone number is (386) 763-4484

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. 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 March 03, 2010. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.