SUN STATE PROSTHETICS INC
NPI 1194843797
Prosthetist in Daytona Beach, FL

NPI Status: Active since March 26, 2007

Contact Information

756 BERKSHIRE RD
DAYTONA BEACH, FL
ZIP 32114
Phone: (407) 629-2866
Fax: (407) 629-4277

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  • Organization
  • Prosthetist
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About SUN STATE PROSTHETICS INC

This page provides the complete NPI Profile along with additional information for Sun State Prosthetics Inc, a provider established in Daytona Beach, Florida operating as a Prosthetist. The healthcare provider is registered in the NPI registry with number 1194843797 assigned on March 2007. The practitioner's primary taxonomy code is 224P00000X with license number PRO 12 (FL). The provider is registered as an organization and their NPI record was last updated 10 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 Charles F Gano Lcp (Owner)

NPI
1194843797
Provider Name
SUN STATE PROSTHETICS INC
Entity Type
Organization
Location Address
756 BERKSHIRE RD DAYTONA BEACH, FL 32114
Location Phone
(407) 629-2866
Location Fax
(407) 629-4277
Mailing Address
1444 W FAIRBANKS AVE WINTER PARK, FL 32789
Mailing Phone
(407) 629-2866
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-26-2007
Last Update Date
09-15-2016
Code Navigator



Sun State Prosthetics Inc is a medicare supplier with PTAN 20649275 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Limb Prostheses.

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

Prosthetist

Taxonomy Code
224P00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PRO 12
License State
FL
Taxonomy Description
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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

CHARLES F GANO LCP

Authorized Official Title
OWNER
Authorized Official Phone
(407) 629-2866

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
0662480002OTHER (01)FLPTAN

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20649275
Accepts Medicare Assignment
YES
Specialities List
Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees

Reviews for SUN STATE PROSTHETICS INC

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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 1194843797, 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 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
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 9 → 18 → 9 8 → 16 → 7 3 → 6 9 → 18 → 9

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 + 1 + 6 + 4 + 6 + 7 + 1 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1194843797.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194843797, enumerated as an "organization" on March 26, 2007.

The provider is located at 756 BERKSHIRE RD DAYTONA BEACH, FL 32114 and the phone number is (407) 629-2866.

Prosthetist with taxonomy code 224P00000X.

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