KETI MEDICAL CENTER & PAIN MANAGEMENT INC
NPI 1205979291
Pain Medicine - Interventional Pain Medicine in Spring Hill, FL

NPI Status: Active since February 15, 2007

Contact Information

7105 MARINER BLVD
SPRING HILL, FL
ZIP 34609
Phone: (352) 596-1339
Fax: (352) 596-8772

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • CLIA Number: 10D1078531
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-10-2026

About KETI MEDICAL CENTER & PAIN MANAGEMENT INC

This page provides the complete NPI Profile along with additional information for Keti Medical Center & Pain Management Inc, a provider established in Spring Hill, Florida operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1205979291 assigned on February 2007. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 2 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 Shyam S Swain Md (President)

NPI
1205979291
Provider Name
KETI MEDICAL CENTER & PAIN MANAGEMENT INC
Entity Type
Organization
Location Address
7105 MARINER BLVD SPRING HILL, FL 34609
Location Phone
(352) 596-1339
Location Fax
(352) 596-8772
Mailing Address
7105 MARINER BLVD SPRING HILL, FL 34609
Mailing Phone
(352) 596-1339
Mailing Fax
(352) 596-8772
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2007
Last Update Date
08-11-2023
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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.

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

SHYAM S SWAIN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(352) 596-1339

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
10D1078531
Facility Type
Physician Office
Certificate Effective Date
January 11, 2024
Certificate Expiration Date
January 10, 2026
Laboratory Director
SHYAM S. SWAIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Keti Medical Center & Pain Management Inc 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 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.
1205979291
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220518718218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 7 + 1 + 8 + 2 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1205979291 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

SHYAM SUNDAR SWAIN MD

Pain Medicine

(Interventional Pain Medicine)

7105 MARINER BLVD
SPRING HILL, FL
ZIP 34609

(352) 596-1339

KEIRA RANDALL NP

Nurse Practitioner

(Adult Health)

7105 MARINER BLVD
SPRING HILL, FL
ZIP 34609

(352) 596-1339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205979291, enumerated as an "organization" on February 15, 2007.

The provider is located at 7105 MARINER BLVD SPRING HILL, FL 34609 and the phone number is (352) 596-1339.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.