MARTIN MEMORIAL SURGERY CENTER
NPI 1316966336
Clinic/Center - Ambulatory Surgical in Stuart, FL

NPI Status: Active since July 19, 2006

Contact Information

509 SE RIVERSIDE DR
STUART, FL
ZIP 34994
Phone: (772) 223-4903
Fax: (772) 223-5622

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 10D2213049
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-08-2027

About MARTIN MEMORIAL SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Martin Memorial Surgery Center, a provider established in Stuart, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1316966336 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 904 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Martin Memorial Surgery Center. The authorized official of this NPI record is Mr. Mark R Robitaille (President/ceo)

NPI
1316966336
Provider Legal Name
COASTAL CARE CORPORATION
Other Organization Name
MARTIN MEMORIAL SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
509 SE RIVERSIDE DR STUART, FL 34994
Location Phone
(772) 223-4903
Location Fax
(772) 223-5622
Mailing Address
PO BOX 9033 STUART, FL 34995
Mailing Phone
(772) 223-4903
Mailing Fax
(772) 223-5622
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2006
Last Update Date
01-10-2013
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
904
License State
FL

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

MR. MARK R ROBITAILLE

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(772) 223-4903

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
10D2213049
Facility Type
Physician Office
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
GEORGE LEE DRAKE III
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Martin Memorial Surgery Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1316966336, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 1 → 2 9 → 18 → 9 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 2 + 6 + 1 + 8 + 6 + 1 + 2 + 3 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1316966336.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
509 SE RIVERSIDE DR, 202
STUART, FL 34994
Plastic Surgery
509 SE RIVERSIDE DR, SUITE 206
STUART, FL 34994
Eyewear Supplier
509 SE RIVERSIDE DR, SUITE 302
STUART, FL 34994
Clinic/Center
509 SE RIVERSIDE DR, SUITE#300
STUART, FL 34994
Neurological Surgery
509 SE RIVERSIDE DR, STE 203
STUART, FL 34994
Physician Assistant
509 SE RIVERSIDE DR, STE 305
STUART, FL 34994
Neurological Surgery
509 SE RIVERSIDE DR, STE 203
STUART, FL 34994
Ophthalmology
509 SE RIVERSIDE DR, SUITE 302
STUART, FL 34994
Ophthalmology
509 SE RIVERSIDE DR, SUITE 302
STUART, FL 34994
Neurological Surgery
509 SE RIVERSIDE DR, STE 203
STUART, FL 34994
Physician Assistant
509 SE RIVERSIDE DR, SUITE 203
STUART, FL 34994
Nurse Practitioner
509 SE RIVERSIDE DR, SUITE 203
STUART, FL 34994
Neurological Surgery
509 SE RIVERSIDE DR, SUITE 203
STUART, FL 34994
Physician Assistant
509 SE RIVERSIDE DR, STE 203
STUART, FL 34994
Surgery (Plastic and Reconstructive Surgery)
509 SE RIVERSIDE DR
STUART, FL 34994
Nurse Anesthetist, Certified Registered
509 SE RIVERSIDE DR
STUART, FL 34994
Internal Medicine (Pulmonary Disease)
509 SE RIVERSIDE DR, SUITE 200
STUART, FL 34994

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316966336, enumerated as an "organization" on July 19, 2006.

The provider is located at 509 SE RIVERSIDE DR STUART, FL 34994 and the phone number is (772) 223-4903.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.