SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1295156941
Orthopaedic Surgery in Jacksonville, FL
NPI Status: Active since December 26, 2013
Contact Information
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 634-0640
Fax: (904) 674-6155
- Organization
- Orthopaedic Surgery
- Accepts Insurance
About SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
This page provides the complete NPI Profile along with additional information for Southeast Orthopedic Specialists, Llc, a provider established in Jacksonville, Florida operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1295156941 assigned on December 2013. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Southeast Orthopedic Specialists, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. 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 Brett N Puckett (Physician/authorized)
- NPI
- 1295156941
- Provider Name
- SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
- Entity Type
- Organization
- Location Address
- 10475 CENTURION PKWY N STE 220 JACKSONVILLE, FL 32256
- Location Phone
- (904) 634-0640
- Location Fax
- (904) 674-6155
- Mailing Address
- 6800 SOUTHPOINT PKWY STE 300 JACKSONVILLE, FL 32216
- Mailing Phone
- (904) 634-0640
- Mailing Fax
- (904) 674-6155
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-26-2013
- Last Update Date
- 12-12-2022
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 | 174400000X | Other Service Providers | Specialist |
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:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
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.
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 |
|---|---|---|---|
| 74895 | OTHER (01) | FL | BCBS |
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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 | 9 | 5 | 1 | 5 | 6 | 9 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 2 | 5 | 12 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 2 + 5 + 1 + 2 + 9 + 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 = 1 | 1 | ||||||||
The NPI number 1295156941 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 20 providers are registered at the same or nearby location.
HANNAH R. COXWELL PTA
Physical Therapy Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
PAEREAK MENG PTA
Physical Therapy Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
VICTORIA CHRISTINE MORROW PTA
Physical Therapy Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
TASHIA MARIE SANTIAGO
Registered Nurse
(Registered Nurse First Assistant)
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
DR. DAVID BRIAN REMIAS M.D.
Family Medicine
(Sports Medicine)
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
DR. VICKI LE DPT
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
ANGELIA M. JOHNSON PT, DPT
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
ANDREW MARKERT PA-C
Physician Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
MARK A ARRIGENNA PA-C
Physician Assistant
(Medical)
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
NOLAN A GALL MD
Physical Medicine & Rehabilitation
(Pain Medicine)
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
DR. GABRIEL P. GALAN DPM
Podiatrist
(Foot & Ankle Surgery)
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
CHELSEA BELANGER DPT
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
GIANPAOLO ANTONINO PASSEGGIATA DC
Chiropractor
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
GABRIELLE MARIE ZABLAN
Physician Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
JOANNA LEIGH MARSHALL PT
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
CY GARRETT NAVEJAR
Physician Assistant
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
STEPHEN AARON SKIPPER DPT
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
NENSI BRARI
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
DAVID RALSTON SEGARS JR. PT
Physical Therapist
10475 CENTURION PKWY N STE 220
JACKSONVILLE, FL
ZIP 32256
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295156941, enumerated as an "organization" on December 26, 2013.
The provider is located at 10475 CENTURION PKWY N STE 220 JACKSONVILLE, FL 32256 and the phone number is (904) 634-0640.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.
