CREIGHTON HEALTH CARE INC
NPI 1558402479
Neuromusculoskeletal Medicine & OMM in Tampa, FL

NPI Status: Active since February 12, 2007

Contact Information

9724 N ARMENIA AVE
SUITE 100
TAMPA, FL
ZIP 33612
Phone: (813) 915-8666
Fax: (813) 930-9536

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  • Organization
  • Neuromusculoskeletal Medicine & OMM
  • CLIA Number: 10D2052809
  • CLIA Cert. Type: Other - HEALTH CARE CLINIC
  • CLIA Exp. Date: 01-17-2025

About CREIGHTON HEALTH CARE INC

This page provides the complete NPI Profile along with additional information for Creighton Health Care Inc, a provider established in Tampa, Florida operating as a Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1558402479 assigned on February 2007. The practitioner's primary taxonomy code is 204D00000X with license number 0038694 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. Creighton Health Care Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Tara Dejesus (Manager)

NPI
1558402479
Provider Name
CREIGHTON HEALTH CARE INC
Entity Type
Organization
Location Address
9724 N ARMENIA AVE SUITE 100 TAMPA, FL 33612
Location Phone
(813) 915-8666
Location Fax
(813) 930-9536
Mailing Address
9724 N ARMENIA AVE SUITE 100 TAMPA, FL 33612
Mailing Phone
(813) 915-8666
Mailing Fax
(813) 930-9536
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2007
Last Update Date
08-22-2020
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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

Neuromusculoskeletal Medicine & OMM

Taxonomy Code
204D00000X
Type
Allopathic & Osteopathic Physicians
License No.
0038694
License State
FL
Taxonomy Description
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

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.

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

TARA DEJESUS

Authorized Official Title
MANAGER
Authorized Official Phone
(813) 915-8666

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
10D2052809
Facility Type
Other - HEALTH CARE CLINIC
Certificate Effective Date
January 18, 2023
Certificate Expiration Date
January 17, 2025
Laboratory Director
CLARA S. CREIGHTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Creighton Health Care Inc 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.

Reviews for CREIGHTON HEALTH CARE INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558402479
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25108804414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 8 + 0 + 4 + 4 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1558402479 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

MR. COLIN W FITZGERALD

Physical Medicine & Rehabilitation

9724 N ARMENIA AVE
SUITE 100
TAMPA, FL
ZIP 33612

(813) 915-8666

DR. CLARA SMITH CREIGHTON M.D.

Neuromusculoskeletal Medicine & OMM

9724 N ARMENIA AVE
STE 100
TAMPA, FL
ZIP 33612

(813) 915-8666

KENNETH HUYNH

Acupuncturist

9724 N ARMENIA AVE
TAMPA, FL
ZIP 33612

(813) 464-0967

ANNA HEALTH, LLC.

Clinic/Center

9724 N ARMENIA AVE
SUITE 400
TAMPA, FL
ZIP 33612

(813) 464-0967

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558402479, enumerated in the NPI registry as an "organization" on February 12, 2007

The provider is located at 9724 N Armenia Ave Suite 100 Tampa, Fl 33612 and the phone number is (813) 915-8666

This medical organization specializes in Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X

The provider's CLIA number is 10D2052809 for a "other - health care clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on February 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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