UNITED PAIN AND SPINE INSTITUTE LLC
NPI 1194345520
Physical Medicine & Rehabilitation - Pain Medicine in Jacksonville, FL

NPI Status: Active since April 27, 2020

Contact Information

10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 718-6929
Fax: (904) 201-4057

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pain Medicine
  • CLIA Number: 10D2188829
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-21-2026

About UNITED PAIN AND SPINE INSTITUTE LLC

This page provides the complete NPI Profile along with additional information for United Pain And Spine Institute Llc, a provider established in Jacksonville, Florida operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1194345520 assigned on April 2020. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 4 years ago. United Pain And Spine Institute Llc 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 Haitao Zhang Md (President)

NPI
1194345520
Provider Name
UNITED PAIN AND SPINE INSTITUTE LLC
Entity Type
Organization
Location Address
10175 FORTUNE PKWY UNIT 803 JACKSONVILLE, FL 32256
Location Phone
(904) 718-6929
Location Fax
(904) 201-4057
Mailing Address
10175 FORTUNE PKWY UNIT 803 JACKSONVILLE, FL 32256
Mailing Phone
(904) 718-6929
Mailing Fax
(904) 201-4057
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2020
Last Update Date
02-22-2022
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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

Physical Medicine & Rehabilitation Pain Medicine

Taxonomy Code
2081P2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

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)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
22081N0008XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Neuromuscular Medicine

 
32081P0004XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Spinal Cord Injury Medicine

 
42081P0301XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Brain Injury Medicine

 
52081S0010XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Sports Medicine

 
6208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

 

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.

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

HAITAO ZHANG MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 718-6929

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2188829
Facility Type
Physician Office
Certificate Effective Date
July 22, 2024
Certificate Expiration Date
July 21, 2026
Laboratory Director
HAITAO ZHANG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to United Pain And Spine Institute Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1194345520, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
0
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 9 → 18 → 9 3 → 6 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 6 + 4 + 1 + 0 + 5 + 4 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1194345520.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation (Pain Medicine)
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL 32256
Physician Assistant
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL 32256
Anesthesiology (Pain Medicine)
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL 32256
Anesthesiology (Pain Medicine)
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194345520, enumerated as an "organization" on April 27, 2020.

The provider is located at 10175 FORTUNE PKWY UNIT 803 JACKSONVILLE, FL 32256 and the phone number is (904) 718-6929.

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.