MRS. JENNIFER MARY BRODERICK PA-C
NPI 1962499723
Physician Assistant - Surgical in St Petersburg, FL
NPI Status: Active since October 05, 2005
Contact Information
960 7TH AVE N
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 821-8101
Fax: (727) 894-8360
- Individual
- Female
- Physician Assistant
- Surgical
About JENNIFER BRODERICK
This page provides the complete NPI Profile along with additional information for Jennifer Broderick, a provider established in St Petersburg, Florida with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1962499723 assigned on October 2005. The practitioner's primary taxonomy code is 363AS0400X with license number 9102539 (FL). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1962499723
- Provider Name
- MRS. JENNIFER MARY BRODERICK PA-C
- Other Name
- MISS JENNIFER MARY MOON PA-C
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 960 7TH AVE N ST PETERSBURG, FL 33705
- Location Phone
- (727) 821-8101
- Location Fax
- (727) 894-8360
- Mailing Address
- 960 7TH AVE N ST PETERSBURG, FL 33705
- Mailing Phone
- (727) 821-8101
- Mailing Fax
- (727) 894-8360
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-05-2005
- Last Update Date
- 03-29-2013
- 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
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 9102539
- License State
- FL
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.
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 |
|---|---|---|---|
| U1343A | MEDICARE PIN (08) | FL | |
| 291647900 | MEDICAID (05) | FL | |
| P98242 | MEDICARE UPIN (02) | FL |
Reviews for MRS. JENNIFER MARY BRODERICK PA-C
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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 | 4 | 9 | 9 | 7 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 8 | 9 | 18 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 8 + 9 + 1 + 8 + 7 + 4 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1962499723 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811477631 | DREW THOMAS OBERMEIER PA-C Individual | Physician Assistant | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
| 1417504077 | BRITTANY NICOLE PETTENGER PA-C Individual | Physician Assistant | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
| 1114599461 | GREATER FLORIDA ANESTHESIOLOGISTS, LLC Organization | Anesthesiology (Pain Medicine) | 960 7TH AVE N SAINT PETERSBURG, FL 33705 (877) 328-1119 |
| 1477212462 | ANESTHESIA DYNAMICS LLC Organization | Anesthesiology | 960 7TH AVE N SAINT PETERSBURG, FL 33705 (240) 469-2181 |
| 1437609112 | TRACY A MORNINGSTAR PA-C Individual | Physician Assistant (Surgical) | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
| 1396479283 | EVA I SCHOFIELD PA-C Individual | Physician Assistant (Surgical) | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
| 1083904593 | CHUN KEVIN YANG MD Individual | Surgery (Vascular Surgery) | 960 7TH AVE N ST PETERSBURG, FL 33705 (277) 821-8101 |
| 1245649847 | MARISOL SCHULTHEIS PA-C Individual | Physician Assistant (Surgical) | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
| 1457348237 | BAY SURGICAL SPECIALISTS, LLC Organization | Surgery (Vascular Surgery) | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
| 1871810655 | BENJAMIN EDWARD SZPILA MD Individual | Surgery (Vascular Surgery) | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
| 1902512981 | DANIELLE MARIE ZIMMERMAN PA-C Individual | Physician Assistant (Surgical) | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
| 1922431394 | MARK CONANT JR. M.D. Individual | Surgery (Vascular Surgery) | 960 7TH AVE N ST PETERSBURG, FL 33705 (717) 821-8101 |
| 1962499715 | PAUL STEVEN COLLINS M.D. Individual | Surgery (Vascular Surgery) | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
| 1992824908 | BRETT ANTHONY ALMOND MD Individual | Surgery (Vascular Surgery) | 960 7TH AVE N ST PETERSBURG, FL 33705 (727) 821-8101 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962499723, enumerated in the NPI registry as an "individual" on October 05, 2005
The provider is located at 960 7th Ave N St Petersburg, Fl 33705 and the phone number is (727) 821-8101
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
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 October 05, 2005. 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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