BLUE LION MEDICAL
NPI 1790087856
Physician Assistant - Surgical in Hollywood, FL

NPI Status: Active since November 23, 2010

Contact Information

3600 WASHINGTON ST
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 773-5744
Fax: (954) 962-1994

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  • Organization
  • Physician Assistant
  • Surgical

About BLUE LION MEDICAL

This page provides the complete NPI Profile along with additional information for Blue Lion Medical, a provider established in Hollywood, Florida operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1790087856 assigned on November 2010. The practitioner's primary taxonomy code is 363AS0400X with license number PA9101635 (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 Jeana Marie Heinz Pa-c (Managing Director)

NPI
1790087856
Provider Name
BLUE LION MEDICAL
Entity Type
Organization
Location Address
3600 WASHINGTON ST HOLLYWOOD, FL 33021
Location Phone
(954) 773-5744
Location Fax
(954) 962-1994
Mailing Address
PO BOX 814479 HOLLYWOOD, FL 33081
Mailing Phone
(954) 773-5744
Mailing Fax
(954) 962-1994
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-23-2010
Last Update Date
11-23-2010
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA9101635
License State
FL

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

JEANA MARIE HEINZ PA-C

Authorized Official Title
MANAGING DIRECTOR
Authorized Official Phone
(954) 557-4140

Reviews for BLUE LION MEDICAL

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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.
1790087856
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271800814810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 0 + 8 + 1 + 4 + 8 + 1 + 0 + 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 1790087856 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508846098 THOMAS KNIGHT MD
Individual
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1346220811 CHARLES BAILEY MD
Individual
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1972583441 ANDREW BERN MD
Individual
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1639149859 TODD SCHWARTZ MD
Individual
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1861504482 MAXINE BLOOM MD
Individual
Anesthesiology3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 986-6173
1457463937 EDWIN RISI MD
Individual
Anesthesiology3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 986-6173
1336342922DR. JEAN DAVIS ARNP
Individual
Nurse Practitioner3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-5350
1487971479DR. MELISSA CARMEN ORDENES M.D.
Individual
Emergency Medicine3600 WASHINGTON ST EMERGENCY DEPARTMENT
HOLLYWOOD, FL 33021
(954) 518-5302
1073826012DR. GRAZIA IRIS MURPHY PHARM.D., BCPS
Individual
Pharmacist3600 WASHINGTON ST PHARMACY SERVICE
HOLLYWOOD, FL 33021
(954) 518-5670
1366788671DR. EMILY EDYTHE MARTUSCELLI PHARMD, BCPS
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-5679
1255599932 KEITH JEFFREY FOSTER M.D.
Individual
Physical Medicine & Rehabilitation3600 WASHINGTON ST SUITE 2005
HOLLYWOOD, FL 33021
(954) 518-2424
1548754989 ABHINAV MOHAN
Individual
Student in an Organized Health Care Education/Training Program3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 265-4461
1578537189 RUSLAN IVANOV MD
Individual
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1598789497DR. THOMAS E MUELLER PHARM.D.
Individual
Pharmacist3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-5670
1073543799HOLLYWOOD MEDICAL CENTER, INC.
Organization
General Acute Care Hospital3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1689690570HOLLYWOOD MEDICAL CENTER, INC.
Organization
Rehabilitation Unit3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1124127378HOLLYWOOD MEDICAL CENTER EKG ASSOCIATES PA
Organization
Internal Medicine (Cardiovascular Disease)3600 WASHINGTON ST - EKG READERS PANEL
HOLLYWOOD, FL 33021
(954) 726-1808
1306496773 RICHIE ONWUCHEKWA UBA
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-5670
1306831359STERLING EMERGENCY SERVICES OF FLORIDA PA
Organization
Emergency Medicine3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 966-4500
1285244772DR. FRANCO A DICKSON PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3600 WASHINGTON ST
HOLLYWOOD, FL 33021
(954) 518-6570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790087856, enumerated in the NPI registry as an "organization" on November 23, 2010

The provider is located at 3600 Washington St Hollywood, Fl 33021 and the phone number is (954) 773-5744

This medical organization specializes in Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

This NPI record was last updated on November 23, 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].
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