SPENCER DERMATOLOGY & SKIN SURGERY CENTER LLC
NPI 1104023324
Specialist in St Petersburg, FL

NPI Status: Active since June 29, 2007

Contact Information

900 CARILLON PKWY
SUITE 404
ST PETERSBURG, FL
ZIP 33716
Phone: (727) 572-1333
Fax: (727) 572-1331

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  • Organization
  • Specialist

About SPENCER DERMATOLOGY & SKIN SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Spencer Dermatology & Skin Surgery Center Llc, a provider established in St Petersburg, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1104023324 assigned on June 2007. The practitioner's primary taxonomy code is 174400000X with license number ME68471 (FL). The provider is registered as an organization and their NPI record was last updated 14 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 Dr. James Montgomery Spencer M.d., M.s. (Ceo)

NPI
1104023324
Provider Name
SPENCER DERMATOLOGY & SKIN SURGERY CENTER LLC
Entity Type
Organization
Location Address
900 CARILLON PKWY SUITE 404 ST PETERSBURG, FL 33716
Location Phone
(727) 572-1333
Location Fax
(727) 572-1331
Mailing Address
900 CARILLON PKWY SUITE 404 ST PETERSBURG, FL 33716
Mailing Phone
(727) 572-1333
Mailing Fax
(727) 572-1331
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2007
Last Update Date
06-14-2012
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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.
ME68471
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 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:

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

DR. JAMES MONTGOMERY SPENCER M.D., M.S.

Authorized Official Title
CEO
Authorized Official Phone
(727) 572-1333

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
F27675MEDICARE UPIN (02)FL 
1730102385OTHER (01)FLNPI INDIVIDUAL NUMBER
K7198MEDICARE ID-TYPE UNSPECIFIED (04)FLDERMATOLOGIST

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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 1104023324, 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
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 0 → 0 0 → 0 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 2 + 6 + 3 + 4 + 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 1104023324.

Other Providers at the Same Location


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

Preventive Medicine (Occupational Medicine)
900 CARILLON PKWY, SUITE 103
ST PETERSBURG, FL 33716
Speech-Language Pathologist
900 CARILLON PKWY, SUITE 407
ST PETERSBURG, FL 33716
Dentist (General Practice)
900 CARILLON PKWY, SUITE 307
SAINT PETERSBURG, FL 33716
Specialist
900 CARILLON PKWY, SUITE 400
ST PETERSBURG, FL 33716
Community/Behavioral Health
900 CARILLON PKWY, SUITE 301
SAINT PETERSBURG, FL 33716
Surgery
900 CARILLON PKWY, SUITE 401
ST PETERSBURG, FL 33716
Clinic/Center (Occupational Medicine)
900 CARILLON PKWY, SUITE 106
ST PETERSBURG, FL 33716
Speech-Language Pathologist
900 CARILLON PKWY
ST PETERSBURG, FL 33716
Occupational Therapist (Pediatrics)
900 CARILLON PKWY, SUITE 407
ST PETERSBURG, FL 33716
Physical Therapist
900 CARILLON PKWY
ST PETERSBURG, FL 33716
Ophthalmology
900 CARILLON PKWY, STE 111
ST PETERSBURG, FL 33716
Internal Medicine (Infectious Disease)
900 CARILLON PKWY, SUITE 112
ST PETERSBURG, FL 33716
Internal Medicine (Infectious Disease)
900 CARILLON PKWY, SUITE 112
ST PETERSBURG, FL 33716
Family Medicine
900 CARILLON PKWY, SUITE 304
ST PETERSBURG, FL 33716
Physician Assistant (Surgical)
900 CARILLON PKWY, SUITE 311
ST PETERSBURG, FL 33716
Orthopaedic Surgery (Sports Medicine)
900 CARILLON PKWY, SUITE 311
ST PETERSBURG, FL 33716
Neurological Surgery
900 CARILLON PKWY, SUITE 402A
ST PETERSBURG, FL 33716
Physician Assistant (Surgical)
900 CARILLON PKWY, SUITE 311
ST PETERSBURG, FL 33716
Neurological Surgery
900 CARILLON PKWY, SUITE 402A
ST PETERSBURG, FL 33716
Clinic/Center (Dental)
900 CARILLON PKWY, SUITE 307
SAINT PETERSBURG, FL 33716

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104023324, enumerated as an "organization" on June 29, 2007.

The provider is located at 900 CARILLON PKWY SUITE 404 ST PETERSBURG, FL 33716 and the phone number is (727) 572-1333.

Specialist with taxonomy code 174400000X.

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