BELLAVISTA DERMATOLOGY
NPI 1801379409
Dermatology in Jacksonville, FL

NPI Status: Active since September 10, 2018

Contact Information

3636 UNIVERSITY BLVD S
UNIT B2
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 297-1415

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  • Organization
  • Dermatology

About BELLAVISTA DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Bellavista Dermatology, a provider established in Jacksonville, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1801379409 assigned on September 2018. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 7 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 organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Bellavista Dermatology. The authorized official of this NPI record is Mr. Rigel Martinez (Owner)

NPI
1801379409
Provider Legal Name
BELLAVISTA DERMATOLOGY GROUP LLC
Other Organization Name
BELLAVISTA DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3636 UNIVERSITY BLVD S UNIT B2 JACKSONVILLE, FL 32216
Location Phone
(904) 297-1415
Mailing Address
3636 UNIVERSITY BLVD S UNIT B2 JACKSONVILLE, FL 32216
Mailing Phone
(904) 297-1415
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2018
Last Update Date
09-10-2018
Code Navigator

A dermatologist like Bellavista Dermatology is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

 
2207ND0900XAllopathic & Osteopathic Physicians

Dermatology
Dermatopathology

 
3207NI0002XAllopathic & Osteopathic Physicians

Dermatology
Clinical & Laboratory Dermatological Immunology

 
4207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

 
5207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

 

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

MR. RIGEL MARTINEZ

Authorized Official Title
OWNER
Authorized Official Phone
(904) 297-1415

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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.
1801379409
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801671840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 6 + 7 + 1 + 8 + 4 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1801379409 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023016987 SAMUEL D KULICK DPM
Individual
Podiatrist3636 UNIVERSITY BLVD S BLDG C
JACKSONVILLE, FL 32216
(904) 731-1711
1427023035DR. LINDA SANDERS HAIGH MD
Individual
Surgery3636 UNIVERSITY BLVD S BLDG C
JACKSONVILLE, FL 32216
(904) 731-1711
1336109024 PHILIP FRED ADLER D.P.M.
Individual
Podiatrist3636 UNIVERSITY BLVD S BLDG C
JACKSONVILLE, FL 32216
(904) 731-1711
1023079639 MICHAEL ERIC TONEY D.P.M.
Individual
Podiatrist3636 UNIVERSITY BLVD S BLDG C
JACKSONVILLE, FL 32216
(904) 731-1711
1720128655DR. EUGENE B WOLCHOK M.D.
Individual
Ophthalmology3636 UNIVERSITY BLVD S SUITE A-2
JACKSONVILLE, FL 32216
(904) 739-0606
1003956939EUGENE B WOLCHOK MD PA
Organization
Ophthalmology3636 UNIVERSITY BLVD S SUITE A-2
JACKSONVILLE, FL 32216
(904) 739-0606
1740324102DR. STEPHEN MARK WOLCHOK M.D.
Individual
Ophthalmology3636 UNIVERSITY BLVD S A2
JACKSONVILLE, FL 32216
(904) 739-0606
1558491258MYRON F MASS MD PA
Organization
Allergy & Immunology3636 UNIVERSITY BLVD S SUITE B-2
JACKSONVILLE, FL 32216
(904) 733-8200
1356503007OSVALDO CONTARINI MD PA
Organization
Surgery3636 UNIVERSITY BLVD S BLDG B
JACKSONVILLE, FL 32216
(904) 737-3150
1255567301ADLER PODIATRY AND WOUND CARE LLC
Organization
Podiatrist3636 UNIVERSITY BLVD S BLDG C
JACKSONVILLE, FL 32216
(904) 731-1711
1780958314INDIAN REHABILITATION CENTER, INC
Organization
Clinic/Center (Rehabilitation)3636 UNIVERSITY BLVD S STE A7
JACKSONVILLE, FL 32216
(904) 232-8468
1326097452 OSVALDO CONTARINI MD
Individual
Surgery3636 UNIVERSITY BLVD S BLDG B
JACKSONVILLE, FL 32216
(904) 737-3150
1689942302ADLER PODIATRY CLINIC PLLC
Organization
Podiatrist (Foot & Ankle Surgery)3636 UNIVERSITY BLVD S BLDG C
JACKSONVILLE, FL 32216
(904) 731-1711
1700841186DR. JEREMY NILES HARRIS M.D.
Individual
Pediatrics3636 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
(904) 448-3387
1639528532PRECISION EYEWEAR OF WOLCHOK EYE, LLC
Organization
Eyewear Supplier3636 UNIVERSITY BLVD S SUITE A2
JACKSONVILLE, FL 32216
(904) 990-3937
1619371465DR. SWAPNILKUMAR P PATEL DPM
Individual
Podiatrist (Foot & Ankle Surgery)3636 UNIVERSITY BLVD S BLDG C
JACKSONVILLE, FL 32216
(904) 731-1711
1275584146ALLERGY ASTHMA IMMUNOLOGY ASSOCIATES PA
Organization
Allergy & Immunology (Clinical & Laboratory Immunology)3636 UNIVERSITY BLVD S SUITE B-2
JACKSONVILLE, FL 32216
(904) 733-8660
1588693329FLORIDA O & P SERVICES INC
Organization
Prosthetic/Orthotic Supplier3636 UNIVERSITY BLVD S SUITE B10
JACKSONVILLE, FL 32216
(904) 737-7755
1902458722COVENANT HOME HEALTH CARE 4, LLC
Organization
Home Health3636 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
(850) 433-2155

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801379409, enumerated in the NPI registry as an "organization" on September 10, 2018

The provider is located at 3636 University Blvd S Unit B2 Jacksonville, Fl 32216 and the phone number is (904) 297-1415

This medical organization specializes in Dermatology with taxonomy code 207N00000X

This NPI record was last updated on September 10, 2018. 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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