GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, INC.
NPI 1649510744
Surgery - Plastic and Reconstructive Surgery in Dothan, AL
NPI Status: Active since February 26, 2013
Contact Information
106 WESTSIDE DR
DOTHAN, AL
ZIP 36303
Phone: (850) 233-3376
Fax: (850) 522-8354
- Organization
- Surgery
- Plastic and Reconstructive Surgery
- CLIA Number: 10D0683249
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, INC.
This page provides the complete NPI Profile along with additional information for Gulf Coast Plastic & Reconstructive Surgery, Inc., a provider established in Dothan, Alabama operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1649510744 assigned on February 2013. The practitioner's primary taxonomy code is 2086S0122X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jon R Ward M.d. (President)
- NPI
- 1649510744
- Provider Name
- GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, INC.
- Entity Type
- Organization
- Location Address
- 106 WESTSIDE DR DOTHAN, AL 36303
- Location Phone
- (850) 233-3376
- Location Fax
- (850) 522-8354
- Mailing Address
- 2505 HARRISON AVE PANAMA CITY, FL 32405
- Mailing Phone
- (850) 233-3376
- Mailing Fax
- (850) 522-8354
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-26-2013
- Last Update Date
- 03-20-2013
- 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
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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 |
|---|---|---|---|
| APPLYING FOR | MEDICARE PIN (08) | AL | |
| APPLYING FOR | MEDICAID (05) | AL | |
| APPLYING | MEDICARE PIN (08) | FL | |
| APPLYING FOR | MEDICAID (05) | FL |
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
- 10D0683249
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. LYNDA I. GENTCHEV
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Gulf Coast Plastic & Reconstructive Surgery, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1649510744, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649510744, enumerated as an "organization" on February 26, 2013.
The provider is located at 106 WESTSIDE DR DOTHAN, AL 36303 and the phone number is (850) 233-3376.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
