COASTAL VASCULAR AND INTERVENTIONAL PLLC
NPI 1164091005
Surgery - Vascular Surgery in Fort Walton Beach, FL
NPI Status: Active since June 24, 2021
Contact Information
1032 MAR WALT DR UNIT 250
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 479-1805
Fax: (850) 479-1829
- Organization
- Surgery
- Vascular Surgery
About COASTAL VASCULAR AND INTERVENTIONAL PLLC
This page provides the complete NPI Profile along with additional information for Coastal Vascular And Interventional Pllc, a provider established in Fort Walton Beach, Florida operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1164091005 assigned on June 2021. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Coastal Vascular And Interventional Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Danelle Fischer (Administrator)
- NPI
- 1164091005
- Provider Name
- COASTAL VASCULAR AND INTERVENTIONAL PLLC
- Entity Type
- Organization
- Location Address
- 1032 MAR WALT DR UNIT 250 FORT WALTON BEACH, FL 32547
- Location Phone
- (850) 479-1805
- Location Fax
- (850) 479-1829
- Mailing Address
- PO BOX 11982 PENSACOLA, FL 32524
- Mailing Phone
- (850) 479-1805
- Mailing Fax
- (850) 479-1829
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-24-2021
- Last Update Date
- 06-24-2021
- 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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 2 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology |
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.
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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 1164091005, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FORT WALTON BEACH, FL 32547
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164091005, enumerated as an "organization" on June 24, 2021.
The provider is located at 1032 MAR WALT DR UNIT 250 FORT WALTON BEACH, FL 32547 and the phone number is (850) 479-1805.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
