SE ORTHOPEDIC SPECIALISTS
NPI 1508221912
Non-Pharmacy Dispensing Site in Middleburg, FL

NPI Status: Active since December 30, 2015

Contact Information

1658 ST VINCENTS WAY
SUITE 100
MIDDLEBURG, FL
ZIP 32068
Phone: (727) 755-0693
Fax: (727) 755-0679

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  • Organization
  • Non-Pharmacy Dispensing Site

About SE ORTHOPEDIC SPECIALISTS

This page provides the complete NPI Profile along with additional information for Se Orthopedic Specialists, a provider established in Middleburg, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1508221912 assigned on December 2015. The practitioner's primary taxonomy code is 332900000X with license number ME80485 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Nicole Sisko (Credentialing Specialist)

NPI
1508221912
Provider Name
SE ORTHOPEDIC SPECIALISTS
Entity Type
Organization
Location Address
1658 ST VINCENTS WAY SUITE 100 MIDDLEBURG, FL 32068
Location Phone
(727) 755-0693
Location Fax
(727) 755-0679
Mailing Address
PO BOX 9830 SALT LAKE CITY, UT 84109
Mailing Phone
(727) 755-0693
Mailing Fax
(727) 755-0679
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2015
Last Update Date
12-30-2015
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
ME80485
License State
FL
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

NICOLE SISKO

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(727) 755-0693

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
K4080MEDICARE PIN (08)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 1508221912, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 4 + 2 + 2 + 9 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1508221912.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
1658 ST VINCENTS WAY, SUITE 240
MIDDLEBURG, FL 32068
Specialist
1658 ST VINCENTS WAY, SUITE 300
MIDDLEBURG, FL 32068
Internal Medicine (Cardiovascular Disease)
1658 ST VINCENTS WAY, SUITE 300
MIDDLEBURG, FL 32068
Advanced Practice Midwife
1658 ST VINCENTS WAY, SUITE 130
MIDDLEBURG, FL 32068
Physician Assistant
1658 ST VINCENTS WAY, SUITE 100
MIDDLEBURG, FL 32068
Surgery
1658 ST VINCENTS WAY, #210
MIDDLEBURG, FL 32068
Physical Therapy Assistant
1658 ST VINCENTS WAY
MIDDLEBURG, FL 32068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508221912, enumerated as an "organization" on December 30, 2015.

The provider is located at 1658 ST VINCENTS WAY SUITE 100 MIDDLEBURG, FL 32068 and the phone number is (727) 755-0693.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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