MARK GIBSON CPO
NPI 1619391802
Prosthetist in Tallahassee, FL

NPI Status: Active since February 10, 2014

Contact Information

3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 877-8174
Fax: (850) 877-5636

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  • Individual
  • Male
  • Prosthetist
  • Accepts Insurance

About MARK GIBSON

This page provides the complete NPI Profile along with additional information for Mark Gibson, a provider established in Tallahassee, Florida with a medical specialization in Prosthetist. The healthcare provider is registered in the NPI registry with number 1619391802 assigned on February 2014. The practitioner's primary taxonomy code is 224P00000X with license number POR276 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1619391802
Provider Name
MARK GIBSON CPO
Gender
Male
Entity Type
Individual
Location Address
3334 CAPITAL MEDICAL BLVD #400 TALLAHASSEE, FL 32308
Location Phone
(850) 877-8174
Location Fax
(850) 877-5636
Mailing Address
3334 CAPITAL MEDICAL BLVD #400 TALLAHASSEE, FL 32308
Mailing Phone
(850) 877-8174
Mailing Fax
(850) 877-5636
Is Sole Proprietor?
No
Enumeration Date
02-10-2014
Last Update Date
11-13-2014
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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

Prosthetist

Taxonomy Code
224P00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
POR276
License State
FL
Taxonomy Description
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Orthotist

POR276 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Thrive Silver - 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
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

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.

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
951939400MEDICAID (05)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 1619391802, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
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 1 → 2 3 → 6 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 6 + 9 + 2 + 8 + 0 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1619391802.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Orthopaedic Surgery
3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE, FL 32308
Nurse Practitioner
3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE, FL 32308
Orthopaedic Surgery (Sports Medicine)
3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE, FL 32308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619391802, enumerated as an "individual" on February 10, 2014.

The provider is located at 3334 CAPITAL MEDICAL BLVD #400 TALLAHASSEE, FL 32308 and the phone number is (850) 877-8174.

Prosthetist with taxonomy code 224P00000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Medicare and. Please consult your insurance carrier or call the provider to verify.