GULF COAST PLASTIC SURGERY CENTER, LLC
NPI 1477322345
Surgery - Plastic and Reconstructive Surgery in Pensacola, FL

NPI Status: Active since December 20, 2023

Contact Information

539 FONTAINE ST
PENSACOLA, FL
ZIP 32503
Phone: (850) 476-3440
Fax: (850) 741-5099

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  • Organization
  • Surgery
  • Plastic and Reconstructive Surgery
  • CLIA Number: 10D2310292
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-29-2026

About GULF COAST PLASTIC SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Gulf Coast Plastic Surgery Center, Llc, a provider established in Pensacola, Florida operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1477322345 assigned on December 2023. The practitioner's primary taxonomy code is 2086S0122X. The provider is registered as an organization and their NPI record was last updated 2 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. Peter N Butler Md (Owner/plastic Surgeon)

NPI
1477322345
Provider Name
GULF COAST PLASTIC SURGERY CENTER, LLC
Entity Type
Organization
Location Address
539 FONTAINE ST PENSACOLA, FL 32503
Location Phone
(850) 476-3440
Location Fax
(850) 741-5099
Mailing Address
539 FONTAINE ST PENSACOLA, FL 32503
Mailing Phone
(850) 476-3440
Mailing Fax
(850) 741-5099
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2023
Last Update Date
10-24-2024
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Location Map

Secondary Locations

  • 543 Fontaine St
    Pensacola, FL 32503
    (850) 476-3223

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 Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

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.

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. PETER N BUTLER MD

Authorized Official Title
OWNER/PLASTIC SURGEON
Authorized Official Phone
(850) 476-3223

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
10D2310292
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 30, 2024
Certificate Expiration Date
August 29, 2026
Laboratory Director
NATHAN PATTERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gulf Coast Plastic Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1477322345, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 6 + 2 + 4 + 3 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1477322345.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Anesthesiology
539 FONTAINE ST
PENSACOLA, FL 32503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477322345, enumerated as an "organization" on December 20, 2023.

The provider is located at 539 FONTAINE ST PENSACOLA, FL 32503 and the phone number is (850) 476-3440.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.