IVAN GUERRERO MD PA
NPI 1053508184
Specialist in Jacksonville, FL

NPI Status: Active since October 03, 2007

Contact Information

6817 SOUTHPOINT PKWY
SUITE 502
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 646-3017
Fax: (904) 646-1501

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  • Organization
  • Specialist
  • Accepts Insurance

About IVAN GUERRERO MD PA

This page provides the complete NPI Profile along with additional information for Ivan Guerrero Md Pa, a provider established in Jacksonville, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1053508184 assigned on October 2007. The practitioner's primary taxonomy code is 174400000X with license number ME82361 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ivan A Guerrero M.d. (President)

NPI
1053508184
Provider Name
IVAN GUERRERO MD PA
Entity Type
Organization
Location Address
6817 SOUTHPOINT PKWY SUITE 502 JACKSONVILLE, FL 32216
Location Phone
(904) 646-3017
Location Fax
(904) 646-1501
Mailing Address
PO BOX 551272 JACKSONVILLE, FL 32255
Mailing Phone
(904) 646-3017
Mailing Fax
(904) 646-1501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2007
Last Update Date
05-21-2015
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
ME82361
License State
FL
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X MULTIPLE 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Clarity VALUE Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze VALUE - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

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

IVAN A GUERRERO M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 646-1987

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
000802800MEDICAID (05)FL 
AH113MEDICARE PIN (08)FL 

Reviews for IVAN GUERRERO MD PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053508184, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 0 + 1 + 6 + 1 + 1 + 6 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1053508184.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
6817 SOUTHPOINT PKWY, SUITE 2304
JACKSONVILLE, FL 32216
Psychologist
6817 SOUTHPOINT PKWY, SUITE 803
JACKSONVILLE, FL 32216
Internal Medicine
6817 SOUTHPOINT PKWY, #503
JACKSONVILLE, FL 32216
Clinical Neuropsychologist
6817 SOUTHPOINT PKWY, SUITE 2301
JACKSONVILLE, FL 32216
Nurse Practitioner (Psychiatric/Mental Health)
6817 SOUTHPOINT PKWY, BUILDING 23, SUITE 2303
JACKSONVILLE, FL 32216
Internal Medicine (Cardiovascular Disease)
6817 SOUTHPOINT PKWY, SUITE 1403
JACKSONVILLE, FL 32216
Psychiatry & Neurology (Psychiatry)
6817 SOUTHPOINT PKWY, SUITE 304
JACKSONVILLE, FL 32216
Nurse Practitioner (Psychiatric/Mental Health)
6817 SOUTHPOINT PKWY, SUITE 304
JACKSONVILLE, FL 32216
Dentist (General Practice)
6817 SOUTHPOINT PKWY, SUITE 302
JACKSONVILLE, FL 32216
Pharmacy (Community/Retail Pharmacy)
6817 SOUTHPOINT PKWY, STE 1702
JACKSONVILLE, FL 32216
Social Worker (Clinical)
6817 SOUTHPOINT PKWY, SUITE 501
JACKSONVILLE, FL 32216
Physical Medicine & Rehabilitation
6817 SOUTHPOINT PKWY, SUITE 2203
JACKSONVILLE, FL 32216
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
6817 SOUTHPOINT PKWY, SUITE 2303
JACKSONVILLE, FL 32216
Clinical Neuropsychologist
6817 SOUTHPOINT PKWY, SUITE 2301
JACKSONVILLE, FL 32216
Clinic/Center (Rehabilitation)
6817 SOUTHPOINT PKWY, STE 303
JACKSONVILLE, FL 32216
Neurological Surgery
6817 SOUTHPOINT PKWY, SUITE 701
JACKSONVILLE, FL 32216
Clinic/Center (Adult Mental Health)
6817 SOUTHPOINT PKWY, STE 803
JACKSONVILLE, FL 32216
Obstetrics & Gynecology
6817 SOUTHPOINT PKWY, SUITE 2204
JACKSONVILLE, FL 32216
Dietitian, Registered
6817 SOUTHPOINT PKWY, SUITE 904
JACKSONVILLE, FL 32216
Registered Nurse (Psychiatric/Mental Health)
6817 SOUTHPOINT PKWY, SUITE 304
JACKSONVILLE, FL 32216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053508184, enumerated as an "organization" on October 03, 2007.

The provider is located at 6817 SOUTHPOINT PKWY SUITE 502 JACKSONVILLE, FL 32216 and the phone number is (904) 646-3017.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.