SOURCE SURGICAL INC
NPI 1538595301
Durable Medical Equipment & Medical Supplies in Jacksonville, FL

NPI Status: Active since September 24, 2013

Contact Information

644 CESERY BLVD STE 315
JACKSONVILLE, FL
ZIP 32211
Phone: (904) 234-3980
Fax: (904) 374-5737

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About SOURCE SURGICAL INC

This page provides the complete NPI Profile along with additional information for Source Surgical Inc, a provider established in Jacksonville, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1538595301 assigned on September 2013. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Joel N/a Cregut (President)

NPI
1538595301
Provider Name
SOURCE SURGICAL INC
Entity Type
Organization
Location Address
644 CESERY BLVD STE 315 JACKSONVILLE, FL 32211
Location Phone
(904) 234-3980
Location Fax
(904) 374-5737
Mailing Address
644 CESERY BLVD STE 315 JACKSONVILLE, FL 32211
Mailing Phone
(904) 234-3980
Mailing Fax
(904) 374-5737
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2013
Last Update Date
01-22-2020
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

MR. JOEL N/A CREGUT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 234-3980

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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 1538595301, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 3 → 6 5 → 10 → 1 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 1 + 0 + 9 + 1 + 0 + 3 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1538595301.

Other Providers at the Same Location


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

Durable Medical Equipment & Medical Supplies
644 CESERY BLVD STE 315
JACKSONVILLE, FL 32211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538595301, enumerated as an "organization" on September 24, 2013.

The provider is located at 644 CESERY BLVD STE 315 JACKSONVILLE, FL 32211 and the phone number is (904) 234-3980.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.