FAMILY CARE ENT & REC. SURGERY
NPI 1275518284
Otolaryngology - Facial Plastic Surgery in Lakeland, FL

NPI Status: Active since December 13, 2005

Contact Information

5420 STRICKLAND AVE
LAKELAND, FL
ZIP 33812
Phone: (863) 701-9510
Fax: (863) 701-9518

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  • Organization
  • Otolaryngology
  • Facial Plastic Surgery
  • Accepts Insurance

About FAMILY CARE ENT & REC. SURGERY

This page provides the complete NPI Profile along with additional information for Family Care Ent & Rec. Surgery, a provider established in Lakeland, Florida operating as a Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1275518284 assigned on December 2005. The practitioner's primary taxonomy code is 207YS0123X with license number OS7773 (FL). The provider is registered as an organization and their NPI record was last updated 18 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 provider's is doing business as Family Care Ent & Rec. Surgery. The authorized official of this NPI record is Dr. Herman R Matallana Do (President)

NPI
1275518284
Provider Legal Name
HERMAN R MATALLANA DO PA
Other Organization Name
FAMILY CARE ENT & REC. SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5420 STRICKLAND AVE LAKELAND, FL 33812
Location Phone
(863) 701-9510
Location Fax
(863) 701-9518
Mailing Address
5420 STRICKLAND AVE LAKELAND, FL 33812
Mailing Phone
(863) 701-9510
Mailing Fax
(863) 701-9518
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2005
Last Update Date
10-14-2008
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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

Otolaryngology Facial Plastic Surgery

Taxonomy Code
207YS0123X
Type
Allopathic & Osteopathic Physicians
License No.
OS7773
License State
FL
Taxonomy Description
An otolaryngologist who specializes in facial plastic surgery.

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:

  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Enhanced 895 - HMO
  • Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
  • Molina Gold Enhanced 895 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Access - HMO
  • Molina Silver Access Plus with Adult Dental and Vision - HMO
  • Molina Silver Access Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO

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.

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

DR. HERMAN R MATALLANA DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(863) 701-9510

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
=========OTHER (01)FLTAX ID
287598OTHER (01)FLAVMED
V0004901OTHER (01)FLCITRUSCAID
H66521MEDICARE UPIN (02)FL 
AA421MEDICARE PIN (08)FL 
264722200MEDICAID (05)FL 
208891OTHER (01)FLHEALTHEASE
N208891OTHER (01)FLSTAYWELL
227021OTHER (01)FLAMERIGROUP
9261729OTHER (01)FLPHCS PRIVATE HEALTHCARE

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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 1275518284, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 1 + 0 + 1 + 1 + 6 + 2 + 1 + 6 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1275518284.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Otolaryngology (Plastic Surgery within the Head & Neck)
5420 STRICKLAND AVE
LAKELAND, FL 33812

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275518284, enumerated as an "organization" on December 13, 2005.

The provider is located at 5420 STRICKLAND AVE LAKELAND, FL 33812 and the phone number is (863) 701-9510.

Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.

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