TRAUMA & SPECIALTY SURGERY INSTITUTE, LLC
NPI 1275667057
Surgery in Daytona Beach, FL
NPI Status: Active since March 15, 2007
Contact Information
311 N CLYDE MORRIS BLVD STE 440
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 252-0688
Fax: (386) 675-6401
- Organization
- Surgery
About TRAUMA & SPECIALTY SURGERY INSTITUTE, LLC
This page provides the complete NPI Profile along with additional information for Trauma & Specialty Surgery Institute, Llc, a provider established in Daytona Beach, Florida operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1275667057 assigned on March 2007. The practitioner's primary taxonomy code is 208600000X with license number ME 65570 (FL). The provider is registered as an organization and their NPI record was last updated 4 years ago. Trauma & Specialty Surgery Institute, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Lori Jazarevic (Office Manager)
- NPI
- 1275667057
- Provider Name
- TRAUMA & SPECIALTY SURGERY INSTITUTE, LLC
- Entity Type
- Organization
- Location Address
- 311 N CLYDE MORRIS BLVD STE 440 DAYTONA BEACH, FL 32114
- Location Phone
- (386) 252-0688
- Location Fax
- (386) 675-6401
- Mailing Address
- 1076 FERN TRL WAYNESVILLE, NC 28786
- Mailing Phone
- (772) 233-6166
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-15-2007
- Last Update Date
- 05-21-2021
- Code Navigator
A surgeon like Trauma & Specialty Surgery Institute, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME 65570
- License State
- FL
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 | 2086S0102X | Allopathic & Osteopathic Physicians | Surgery | ME65570 (FL) |
| 2 | 2086S0127X | Allopathic & Osteopathic Physicians | Surgery | ME65570 (FL) |
| 3 | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | ME65570 (FL) |
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.
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.
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 |
|---|---|---|---|
| ME 65570 | OTHER (01) | FL | MEDICAL LICENSE |
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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. | |||||||||
| 1 | 2 | 7 | 5 | 6 | 6 | 7 | 0 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 6 | 14 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 6 + 1 + 4 + 0 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1275667057 is valid because the calculated check digit 7 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.
VOLUSIA NEUROSURGICAL ASSOCIATES
Neurological Surgery
311 N CLYDE MORRIS BLVD STE 440
DAYTONA BEACH, FL
ZIP 32114
DR. MARK IAN BENDER MD, DC
Anesthesiology
(Pain Medicine)
311 N CLYDE MORRIS BLVD STE 440
DAYTONA BEACH, FL
ZIP 32114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275667057, enumerated as an "organization" on March 15, 2007.
The provider is located at 311 N CLYDE MORRIS BLVD STE 440 DAYTONA BEACH, FL 32114 and the phone number is (386) 252-0688.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
