SOUTHEASTERN INTEGRATED MEDICAL PL
NPI 1871573949
Neuromusculoskeletal Medicine & OMM in Gainesville, FL

NPI Status: Active since January 17, 2006

Contact Information

4343 W NEWBERRY RD
GAINESVILLE, FL
ZIP 32607
Phone: (352) 224-2200
Fax: (352) 224-2484

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  • Organization
  • Neuromusculoskeletal Medicine & OMM

About SOUTHEASTERN INTEGRATED MEDICAL PL

This page provides the complete NPI Profile along with additional information for Southeastern Integrated Medical Pl, a provider established in Gainesville, Florida operating as a Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1871573949 assigned on January 2006. The practitioner's primary taxonomy code is 204D00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Southeastern Integrated Medical Pl operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Daniel M Duncanson M.d.,c.p.e. (Cheif Executive Officer)

NPI
1871573949
Provider Name
SOUTHEASTERN INTEGRATED MEDICAL PL
Entity Type
Organization
Location Address
4343 W NEWBERRY RD GAINESVILLE, FL 32607
Location Phone
(352) 224-2200
Location Fax
(352) 224-2484
Mailing Address
4881 NW 8TH AVE SUITE 2 GAINESVILLE, FL 32605
Mailing Phone
(352) 547-2373
Mailing Fax
(352) 224-2484
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-17-2006
Last Update Date
03-09-2015
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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

Neuromusculoskeletal Medicine & OMM

Taxonomy Code
204D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

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)
1207KA0200XAllopathic & Osteopathic Physicians

Allergy & Immunology
Allergy

 
2207KI0005XAllopathic & Osteopathic Physicians

Allergy & Immunology
Clinical & Laboratory Immunology

 
3207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

 
4207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
5207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
6207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 
7207RM1200XAllopathic & Osteopathic Physicians

Internal Medicine
Magnetic Resonance Imaging (MRI)

 
8207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 
9207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
10207U00000XAllopathic & Osteopathic Physicians

Nuclear Medicine

 
11207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
12207VG0400XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Gynecology

 
13207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
14207YS0123XAllopathic & Osteopathic Physicians

Otolaryngology
Facial Plastic Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

*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

DANIEL M DUNCANSON M.D.,C.P.E.

Authorized Official Title
CHEIF EXECUTIVE OFFICER
Authorized Official Phone
(352) 224-2200

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
058586600MEDICAID (05)FL 
97749MEDICARE PIN (08)FL 

Reviews for SOUTHEASTERN INTEGRATED MEDICAL PL

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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.
1871573949
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28141107698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 0 + 7 + 6 + 9 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1871573949 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376539379MR. GREGORY JAY DARBY SR. PA-C
Individual
Physician Assistant (Medical)4343 W NEWBERRY RD
GAINESVILLE, FL 32607
(352) 373-4321
1811988512 CLARISOL M MARTINEZ M.D.
Individual
Internal Medicine4343 W NEWBERRY RD SUITE 13
GAINESVILLE, FL 32607
(352) 332-7770
1477535524 DANIEL M. DUNCANSON MD
Individual
Internal Medicine4343 W NEWBERRY RD SUITE 13
GAINESVILLE, FL 32607
(352) 332-7770
1730162462MR. LUDO DEWOLF PT
Individual
Physical Therapist4343 W NEWBERRY RD SUITE 4
GAINESVILLE, FL 32607
(352) 373-6565
1548243298 CHRISTINA L PETTIE PT
Individual
Physical Therapist4343 W NEWBERRY RD SUITE 4
GAINESVILLE, FL 32607
(352) 373-6565
1730163205 DAVID OCHS MPT
Individual
Physical Therapist4343 W NEWBERRY RD SUITE 4
GAINESVILLE, FL 32607
(352) 373-6565
1083691257 MERCEDES T PERNICE M.D.
Individual
Allergy & Immunology4343 W NEWBERRY RD SUITE 1
GAINESVILLE, FL 32607
(352) 331-3502
1326025594 BELEN M TAN M.D.
Individual
Allergy & Immunology4343 W NEWBERRY RD SUITE 1
GAINESVILLE, FL 32607
(352) 331-3502
1497732671 ANTONIO L BUNKER-SOLER M.D.
Individual
Allergy & Immunology4343 W NEWBERRY RD SUITE 1
GAINESVILLE, FL 32607
(352) 331-3502
1720066764 THOMAS MARK LLOYD SR. MD
Individual
Internal Medicine (Rheumatology)4343 W NEWBERRY RD SUITE 8
GAINESVILLE, FL 32607
(352) 378-5173
1346229390 DONALD WILLIAM SCOTT SR. MD
Individual
Internal Medicine (Rheumatology)4343 W NEWBERRY RD SUITE 8
GAINESVILLE, FL 32607
(352) 378-5173
1619956570 OSCAR B DEPAZ MD
Individual
Physical Medicine & Rehabilitation4343 W NEWBERRY RD SUITE 14
GAINESVILLE, FL 32607
(352) 373-4321
1578542437 RIGOBERTO PUENTE GUZMAN MD
Individual
Pain Medicine (Interventional Pain Medicine)4343 W NEWBERRY RD SUITE 6
GAINESVILLE, FL 32607
(352) 381-9933
1518946482 CHRISTOPHER M LEBER MD
Individual
Physical Medicine & Rehabilitation4343 W NEWBERRY RD SUITE14
GAINESVILLE, FL 32607
(352) 373-4321
1396724019 TRACY TYPINSKI ARNP
Individual
Nurse Practitioner4343 W NEWBERRY RD SUITE 14
GAINESVILLE, FL 32607
(352) 373-4321
1790764082 WILDA MURPHY MD
Individual
Physical Medicine & Rehabilitation4343 W NEWBERRY RD SUITE 14
GAINESVILLE, FL 32607
(352) 373-4321
1346220472 ROBERT GUSKIEWICZ MD
Individual
Pain Medicine (Interventional Pain Medicine)4343 W NEWBERRY RD SUITE 6
GAINESVILLE, FL 32607
(352) 224-2200
1215917356 KIM THOMAS ARNP
Individual
Nurse Practitioner4343 W NEWBERRY RD SUITE 14
GAINESVILLE, FL 32607
(352) 373-4321
1578543385 GALINA FEDOROVNA BOGORODSKAYA MD
Individual
Psychiatry & Neurology (Neurology)4343 W NEWBERRY RD SUITE 3
GAINESVILLE, FL 32607
(352) 374-2222
1568442812 WILLIAM H WARRICK III MD
Individual
Family Medicine4343 W NEWBERRY RD SUITE 11
GAINESVILLE, FL 32607
(352) 372-3471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871573949, enumerated in the NPI registry as an "organization" on January 17, 2006

The provider is located at 4343 W Newberry Rd Gainesville, Fl 32607 and the phone number is (352) 224-2200

This medical organization specializes in Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 January 17, 2006. 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.