JACKSONVILLE ENT SURGERY CENTER
NPI 1609125913
Otolaryngology in Jacksonville, FL
NPI Status: Active since August 31, 2012
Contact Information
6484 FORT CAROLINE RD
JACKSONVILLE, FL
ZIP 32277
Phone: (904) 419-2054
Fax: (904) 419-2057
- Organization
- Otolaryngology
- CLIA Number: 10D2276983
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-16-2027
About JACKSONVILLE ENT SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Jacksonville Ent Surgery Center, a provider established in Jacksonville, Florida operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1609125913 assigned on August 2012. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Jacksonville Ent Surgery Center 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 Jacksonville Ent Surgery Center. The authorized official of this NPI record is Charles C Greene (Owner)
- NPI
- 1609125913
- Provider Legal Name
- CHARLES C GREENE MD PHD PA
- Other Organization Name
- JACKSONVILLE ENT SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6484 FORT CAROLINE RD JACKSONVILLE, FL 32277
- Location Phone
- (904) 419-2054
- Location Fax
- (904) 419-2057
- Mailing Address
- PO BOX 864935 ORLANDO, FL 32886
- Mailing Phone
- (904) 419-2054
- Mailing Fax
- (904) 419-2057
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2012
- Last Update Date
- 06-04-2013
- Code Navigator
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
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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
- 10D2276983
- Facility Type
- Physician Office
- Certificate Effective Date
- February 17, 2025
- Certificate Expiration Date
- February 16, 2027
- Laboratory Director
- DENNIS W. RHOADES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jacksonville Ent Surgery Center 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 1609125913, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32277
JACKSONVILLE, FL 32277
JACKSONVILLE, FL 32277
JACKSONVILLE, FL 32277
JACKSONVILLE, FL 32277
JACKSONVILLE, FL 32277
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609125913, enumerated as an "organization" on August 31, 2012.
The provider is located at 6484 FORT CAROLINE RD JACKSONVILLE, FL 32277 and the phone number is (904) 419-2054.
Otolaryngology with taxonomy code 207Y00000X.
