LAKE REGIONAL PRIMARY CARE
NPI 1053869487
Legal Medicine in Mount Dora, FL

NPI Status: Active since September 14, 2016

Contact Information

16890 US HIGHWAY 441
MOUNT DORA, FL
ZIP 32757
Phone: (352) 315-1651
Fax: (352) 315-1703

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  • Organization
  • Legal Medicine

About LAKE REGIONAL PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Lake Regional Primary Care, a provider established in Mount Dora, Florida operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1053869487 assigned on September 2016. The practitioner's primary taxonomy code is 173000000X with license number ME77919 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. Lake Regional Primary Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lake Regional Primary Care. The authorized official of this NPI record is Glenda Marti (Billing Manager)

NPI
1053869487
Provider Legal Name
MEDICAL VENTURES OF AMERICA
Other Organization Name
LAKE REGIONAL PRIMARY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16890 US HIGHWAY 441 MOUNT DORA, FL 32757
Location Phone
(352) 315-1651
Location Fax
(352) 315-1703
Mailing Address
16890 US HIGHWAY 441 MOUNT DORA, FL 32757
Mailing Phone
(352) 315-1651
Mailing Fax
(352) 315-1703
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-14-2016
Last Update Date
10-11-2016
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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

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
ME77919
License State
FL
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

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

GLENDA MARTI

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(352) 315-1651

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
34537MEDICARE UPIN (02)FL 
010331500MEDICAID (05)FL 

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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 1053869487, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 8 → 16 → 7 9 → 18 → 9 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 + 6 + 6 + 1 + 8 + 4 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1053869487.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Infusion Therapy)
16890 US HIGHWAY 441
MOUNT DORA, FL 32757
Nurse Practitioner (Family)
16890 US HIGHWAY 441
MOUNT DORA, FL 32757
Physical Medicine & Rehabilitation
16890 US HIGHWAY 441
MOUNT DORA, FL 32757
Legal Medicine
16890 US HIGHWAY 441
MOUNT DORA, FL 32757
Clinic/Center (Urgent Care)
16890 US HIGHWAY 441
MOUNT DORA, FL 32757

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053869487, enumerated as an "organization" on September 14, 2016.

The provider is located at 16890 US HIGHWAY 441 MOUNT DORA, FL 32757 and the phone number is (352) 315-1651.

Legal Medicine with taxonomy code 173000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.