LAKE SURGICAL CLINIC PA
NPI 1114105442
Specialist in Leesburg, FL
NPI Status: Active since February 08, 2008
Contact Information
1111 W DIXIE AVE
LEESBURG, FL
ZIP 34748
Phone: (352) 787-8230
Fax: (352) 787-6964
- Organization
- Specialist
About LAKE SURGICAL CLINIC PA
This page provides the complete NPI Profile along with additional information for Lake Surgical Clinic Pa, a provider established in Leesburg, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1114105442 assigned on February 2008. The practitioner's primary taxonomy code is 174400000X with license number ME16817 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. David W Burnsed M.d. (Owner)
- NPI
- 1114105442
- Provider Name
- LAKE SURGICAL CLINIC PA
- Entity Type
- Organization
- Location Address
- 1111 W DIXIE AVE LEESBURG, FL 34748
- Location Phone
- (352) 787-8230
- Location Fax
- (352) 787-6964
- Mailing Address
- 1111 W DIXIE AVE LEESBURG, FL 34748
- Mailing Phone
- (352) 787-8230
- Mailing Fax
- (352) 787-6964
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2008
- Last Update Date
- 08-17-2010
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- ME16817
- 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.
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 |
|---|---|---|---|
| K0016 | MEDICARE PIN (08) | FL |
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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 | 1 | 1 | 4 | 1 | 0 | 5 | 4 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 2 | 0 | 10 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 2 + 0 + 1 + 0 + 4 + 8 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1114105442 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114105442, enumerated as an "organization" on February 08, 2008.
The provider is located at 1111 W DIXIE AVE LEESBURG, FL 34748 and the phone number is (352) 787-8230.
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.
