FOOT PAIN DOCTORS OF JACKSONVILLE
NPI 1487146890
Podiatrist in Orange Park, FL
NPI Status: Active since May 31, 2018
Contact Information
1532 KINGSLEY AVE STE 106
ORANGE PARK, FL
ZIP 32073
Phone: (904) 329-1391
Fax: (904) 580-5835
- Organization
- Podiatrist
- CLIA Number: 10D0932834
- CLIA Cert. Type: Other
- CLIA Exp. Date: 06-15-2027
About FOOT PAIN DOCTORS OF JACKSONVILLE
This page provides the complete NPI Profile along with additional information for Foot Pain Doctors Of Jacksonville, a provider established in Orange Park, Florida operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1487146890 assigned on May 2018. The practitioner's primary taxonomy code is 213E00000X with license number L18000131637 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. Foot Pain Doctors Of Jacksonville operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Foot Pain Doctors Of Jacksonville. The authorized official of this NPI record is Ms. Brenda Carol Coley-grobes (President)
- NPI
- 1487146890
- Provider Legal Name
- FIRST COAST MEDICAL NETWORK LLC
- Other Organization Name
- FOOT PAIN DOCTORS OF JACKSONVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1532 KINGSLEY AVE STE 106 ORANGE PARK, FL 32073
- Location Phone
- (904) 329-1391
- Location Fax
- (904) 580-5835
- Mailing Address
- 1687 MAJESTIC VIEW LN FLEMING ISLAND, FL 32003
- Mailing Phone
- (904) 329-1391
- Mailing Fax
- (904) 580-5835
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-31-2018
- Last Update Date
- 09-04-2024
- Code Navigator
A podiatrist like Foot Pain Doctors Of Jacksonville provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
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
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- L18000131637
- License State
- FL
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 10D0932834
- Facility Type
- Other
- Certificate Effective Date
- June 16, 2025
- Certificate Expiration Date
- June 15, 2027
- Laboratory Director
- RICHARD L. MYERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Foot Pain Doctors Of Jacksonville 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 1487146890, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487146890, enumerated as an "organization" on May 31, 2018.
The provider is located at 1532 KINGSLEY AVE STE 106 ORANGE PARK, FL 32073 and the phone number is (904) 329-1391.
Podiatrist with taxonomy code 213E00000X.
