FWC UROGYNECOLOGY, LLC
NPI 1962074070
Urology - Urogynecology and Reconstructive Pelvic Surgery in Jacksonville, FL
NPI Status: Active since July 16, 2021
Contact Information
6885 BELFORT OAKS PL STE 110
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 652-0373
Fax: (904) 652-0378
- Organization
- Urology
- Urogynecology and Reconstructive Pelvic ...
- CLIA Number: 10D1029754
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-22-2026
About FWC UROGYNECOLOGY, LLC
This page provides the complete NPI Profile along with additional information for Fwc Urogynecology, Llc, a provider established in Jacksonville, Florida operating as a Urology, focusing in urogynecology and reconstructive pelvic surgery . The healthcare provider is registered in the NPI registry with number 1962074070 assigned on July 2021. The practitioner's primary taxonomy code is 2088F0040X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Fwc Urogynecology, Llc 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 Erica Hernandez (Manager)
- NPI
- 1962074070
- Provider Name
- FWC UROGYNECOLOGY, LLC
- Entity Type
- Organization
- Location Address
- 6885 BELFORT OAKS PL STE 110 JACKSONVILLE, FL 32216
- Location Phone
- (904) 652-0373
- Location Fax
- (904) 652-0378
- Mailing Address
- PO BOX 5556 BELFAST, ME 04915
- Mailing Phone
- (561) 300-2410
- Mailing Fax
- (904) 652-0378
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-16-2021
- Last Update Date
- 07-07-2022
- Code Navigator
Location Map
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
Urology Urogynecology and Reconstructive Pelvic Surgery
- Taxonomy Code
- 2088F0040X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
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.
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
- 10D1029754
- Facility Type
- Physician Office
- Certificate Effective Date
- August 23, 2024
- Certificate Expiration Date
- August 22, 2026
- Laboratory Director
- JASON R. THOMPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fwc Urogynecology, 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. | |||||||||
| 1 | 9 | 6 | 2 | 0 | 7 | 4 | 0 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 0 | 7 | 8 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 0 + 7 + 8 + 0 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1962074070 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881947760 | THERESA MARIE ECKERT PA-C Individual | Physician Assistant | 6885 BELFORT OAKS PL STE 110 JACKSONVILLE, FL 32216 (904) 652-0373 |
| 1134768237 | CAROLINE M SANTILLI PA-C Individual | Physician Assistant | 6885 BELFORT OAKS PL STE 110 JACKSONVILLE, FL 32216 (904) 652-0373 |
| 1073109963 | PRISCILLA JACOBS PA-C Individual | Physician Assistant | 6885 BELFORT OAKS PL STE 110 JACKSONVILLE, FL 32216 (904) 652-0373 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962074070, enumerated in the NPI registry as an "organization" on July 16, 2021
The provider is located at 6885 Belfort Oaks Pl Ste 110 Jacksonville, Fl 32216 and the phone number is (904) 652-0373
This medical organization specializes in Urology with taxonomy code 2088F0040X with a focus in Urogynecology and Reconstructive Pelvic Surgery
The provider's CLIA number is 10D1029754 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 July 16, 2021. 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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