EMERALD COAST NECK & BACK CLINIC, P.A.
NPI 1386916237
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Niceville, FL
NPI Status: Active since February 07, 2012
Contact Information
1003 COLLEGE BLVD W
SUITE 4
NICEVILLE, FL
ZIP 32578
Phone: (850) 279-6485
Fax: (850) 279-6546
- Organization
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
About EMERALD COAST NECK & BACK CLINIC, P.A.
This page provides the complete NPI Profile along with additional information for Emerald Coast Neck & Back Clinic, P.a., a provider established in Niceville, Florida operating as a Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1386916237 assigned on February 2012. The practitioner's primary taxonomy code is 207XS0117X with license number ME0053933 (FL). The provider is registered as an organization and their NPI record was last updated 3 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 Christo W. Koulisis M.d. (President)
- NPI
- 1386916237
- Provider Name
- EMERALD COAST NECK & BACK CLINIC, P.A.
- Entity Type
- Organization
- Location Address
- 1003 COLLEGE BLVD W SUITE 4 NICEVILLE, FL 32578
- Location Phone
- (850) 279-6485
- Location Fax
- (850) 279-6546
- Mailing Address
- 1003 COLLEGE BLVD W SUITE 4 NICEVILLE, FL 32578
- Mailing Phone
- (850) 279-6485
- Mailing Fax
- (850) 279-6546
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2012
- Last Update Date
- 12-29-2022
- 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 Orthopaedic Surgery of the Spine
- Taxonomy Code
- 207XS0117X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0053933
- License State
- FL
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | ME0053933 (FL) |
Group Taxonomy 193400000X MULTIPLE 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.
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 |
|---|---|---|---|
| 162510700 | OTHER (01) | FL | DEPARTMENT OF LABOR |
| 07915 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
| 256355000 | MEDICAID (05) | 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 1386916237, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386916237, enumerated as an "organization" on February 07, 2012.
The provider is located at 1003 COLLEGE BLVD W SUITE 4 NICEVILLE, FL 32578 and the phone number is (850) 279-6485.
Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
