ELITE SPORTS PODIATRY, PA
NPI 1356743207
Podiatrist - Foot Surgery in Clearwater, FL

NPI Status: Active since September 23, 2014

Contact Information

1700 N MCMULLEN BOOTH RD
SUITE C-2
CLEARWATER, FL
ZIP 33759
Phone: (727) 330-7646
Fax: (727) 330-4645

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  • Organization
  • Podiatrist
  • Foot Surgery

About ELITE SPORTS PODIATRY, PA

This page provides the complete NPI Profile along with additional information for Elite Sports Podiatry, Pa, a provider established in Clearwater, Florida operating as a Podiatrist, focusing in foot surgery . The healthcare provider is registered in the NPI registry with number 1356743207 assigned on September 2014. The practitioner's primary taxonomy code is 213ES0131X with license number PO3445 (FL). The provider is registered as an organization and their NPI record was last updated 11 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 authorized official of this NPI record is Dr. Brian William Fullem Md (Medical Doctor/owner)

NPI
1356743207
Provider Name
ELITE SPORTS PODIATRY, PA
Entity Type
Organization
Location Address
1700 N MCMULLEN BOOTH RD SUITE C-2 CLEARWATER, FL 33759
Location Phone
(727) 330-7646
Location Fax
(727) 330-4645
Mailing Address
1700 N MCMULLEN BOOTH RD STE C2 CLEARWATER, FL 33759
Mailing Phone
(727) 330-7646
Mailing Fax
(727) 330-4645
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2014
Last Update Date
01-07-2015
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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

Podiatrist Foot Surgery

Taxonomy Code
213ES0131X
Type
Podiatric Medicine & Surgery Service Providers
License No.
PO3445
License State
FL

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:

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. BRIAN WILLIAM FULLEM MD

Authorized Official Title
MEDICAL DOCTOR/OWNER
Authorized Official Phone
(203) 241-2582

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
U19859MEDICARE UPIN (02)FL 

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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 1356743207, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 1 + 4 + 4 + 6 + 2 + 0 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1356743207.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Podiatrist
1700 N MCMULLEN BOOTH RD, SUITE A2-B
CLEARWATER, FL 33759
Internal Medicine
1700 N MCMULLEN BOOTH RD, STE D-1
CLEARWATER, FL 33759
Dentist (General Practice)
1700 N MCMULLEN BOOTH RD, SUITE A-1
CLEARWATER, FL 33759
Nurse Practitioner (Family)
1700 N MCMULLEN BOOTH RD, SUITE C1 & C2
CLEARWATER, FL 33759
Chiropractor
1700 N MCMULLEN BOOTH RD, SUITE B3
CLEARWATER, FL 33759
Pain Medicine (Pain Medicine)
1700 N MCMULLEN BOOTH RD, SUITE A2-1
CLEARWATER, FL 33759
Internal Medicine
1700 N MCMULLEN BOOTH RD, D1
CLEARWATER, FL 33759
Nurse Practitioner (Family)
1700 N MCMULLEN BOOTH RD, SUITE D1
CLEARWATER, FL 33759
Family Medicine
1700 N MCMULLEN BOOTH RD, SUITE C3
CLEARWATER, FL 33759
Podiatrist (Foot Surgery)
1700 N MCMULLEN BOOTH RD, #C-2
CLEARWATER, FL 33759
Home Health
1700 N MCMULLEN BOOTH RD, SUITE B-3
CLEARWATER, FL 33759
Psychologist (Clinical)
1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759
Podiatrist (Foot & Ankle Surgery)
1700 N MCMULLEN BOOTH RD, SUITE A2-B
CLEARWATER, FL 33759
Hospitalist
1700 N MCMULLEN BOOTH RD, SUITE D1
CLEARWATER, FL 33759
Occupational Therapist
1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759
Internal Medicine
1700 N MCMULLEN BOOTH RD, SUITE D-1
CLEARWATER, FL 33759
Psychologist
1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759
Psychologist
1700 N MCMULLEN BOOTH RD
CLEARWATER, FL 33759

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356743207, enumerated as an "organization" on September 23, 2014.

The provider is located at 1700 N MCMULLEN BOOTH RD SUITE C-2 CLEARWATER, FL 33759 and the phone number is (727) 330-7646.

Podiatrist with taxonomy code 213ES0131X and a focus in Foot Surgery.

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