MEMORIAL NEUROSCIENCE CENTER
NPI 1487860284
Neurological Surgery in Jacksonville, FL

NPI Status: Active since May 16, 2007

Contact Information

3627 UNIVERSITY BLVD S
SUITE 355
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 296-2522
Fax: (904) 296-8173

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  • Organization
  • Neurological Surgery
  • Accepts Insurance

About MEMORIAL NEUROSCIENCE CENTER

This page provides the complete NPI Profile along with additional information for Memorial Neuroscience Center, a provider established in Jacksonville, Florida operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1487860284 assigned on May 2007. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 18 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 provider's is doing business as Memorial Neuroscience Center. The authorized official of this NPI record is Mickey Pickler (Vp)

NPI
1487860284
Provider Legal Name
MEMORIAL NEUROSURGERY GROUP LLC
Other Organization Name
MEMORIAL NEUROSCIENCE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3627 UNIVERSITY BLVD S SUITE 355 JACKSONVILLE, FL 32216
Location Phone
(904) 296-2522
Location Fax
(904) 296-8173
Mailing Address
3627 UNIVERSITY BLVD S SUITE 355 JACKSONVILLE, FL 32216
Mailing Phone
(904) 296-2522
Mailing Fax
(904) 296-8173
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2007
Last Update Date
01-21-2008
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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

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

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:

  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Clarity VALUE Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

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

MICKEY PICKLER

Authorized Official Title
VP
Authorized Official Phone
(850) 523-2117

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
AD379MEDICARE PIN (08)FL 
DG1534MEDICARE PIN (08) 

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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 1487860284, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 8 → 16 → 7 8 → 16 → 7 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 1 + 6 + 6 + 0 + 2 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1487860284.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
3627 UNIVERSITY BLVD S, SUITE 705
JACKSONVILLE, FL 32216
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S, SUITE 200
JACKSONVILLE, FL 32216
Neurological Surgery
3627 UNIVERSITY BLVD S, SUITE 355
JACKSONVILLE, FL 32216
Internal Medicine (Gastroenterology)
3627 UNIVERSITY BLVD S, STE 705
JACKSONVILLE, FL 32216
Nurse Practitioner (Adult Health)
3627 UNIVERSITY BLVD S, SUITE 415
JACKSONVILLE, FL 32216
Pharmacist
3627 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Audiologist
3627 UNIVERSITY BLVD S, SUITE 210
JACKSONVILLE, FL 32216
Psychiatry & Neurology (Neurology)
3627 UNIVERSITY BLVD S, STE 255
JACKSONVILLE, FL 32216
Psychiatry & Neurology (Neurology)
3627 UNIVERSITY BLVD S, SUITE 255
JACKSONVILLE, FL 32216
Internal Medicine (Pulmonary Disease)
3627 UNIVERSITY BLVD S, SUITE 300
JACKSONVILLE, FL 32216
Obstetrics & Gynecology (Obstetrics)
3627 UNIVERSITY BLVD S, SUITE 450
JACKSONVILLE, FL 32216
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S, SUITE 340
JACKSONVILLE, FL 32216
Counselor (Mental Health)
3627 UNIVERSITY BLVD S, SUITE 615
JACKSONVILLE, FL 32216
General Acute Care Hospital
3627 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physician Assistant
3627 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Internal Medicine (Gastroenterology)
3627 UNIVERSITY BLVD S, STE 705
JACKSONVILLE, FL 32216
Physician Assistant
3627 UNIVERSITY BLVD S, SUITE 355
JACKSONVILLE, FL 32216
Obstetrics & Gynecology
3627 UNIVERSITY BLVD S, STE 340
JACKSONVILLE, FL 32216
Physician Assistant (Medical)
3627 UNIVERSITY BLVD S, SUITE 500
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
3627 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487860284, enumerated as an "organization" on May 16, 2007.

The provider is located at 3627 UNIVERSITY BLVD S SUITE 355 JACKSONVILLE, FL 32216 and the phone number is (904) 296-2522.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.