JEREMY M GORDON DC PA
NPI 1669562500
Clinic/Center - Multi-Specialty in Deland, FL

NPI Status: Active since October 13, 2006

Contact Information

905 N STONE ST
DELAND, FL
ZIP 32720
Phone: (386) 734-9995
Fax: (386) 734-9949

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About JEREMY M GORDON DC PA

This page provides the complete NPI Profile along with additional information for Jeremy M Gordon Dc Pa, a provider established in Deland, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1669562500 assigned on October 2006. The practitioner's primary taxonomy code is 261QM1300X with license number CH7770 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Jeremy M Gordon Dc (President)

NPI
1669562500
Provider Name
JEREMY M GORDON DC PA
Entity Type
Organization
Location Address
905 N STONE ST DELAND, FL 32720
Location Phone
(386) 734-9995
Location Fax
(386) 734-9949
Mailing Address
905 N STONE ST DELAND, FL 32720
Mailing Phone
(386) 734-9995
Mailing Fax
(386) 734-9949
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2006
Last Update Date
10-29-2010
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
CH7770
License State
FL

Insurance Plans Accepted

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

  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO

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.

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.

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

DR. JEREMY M GORDON DC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(386) 734-9995

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
55875OTHER (01)FLBLUE CROSS BLUE SHIELD
55875ZMEDICARE ID-TYPE UNSPECIFIED (04)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 1669562500, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 6 → 12 → 3 5 → 10 → 1 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 0 + 6 + 4 + 5 + 0 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1669562500.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Chiropractor
905 N STONE ST
DELAND, FL 32720
Chiropractor
905 N STONE ST
DELAND, FL 32720
Chiropractor
905 N STONE ST
DELAND, FL 32720
Chiropractor
905 N STONE ST
DELAND, FL 32720
Chiropractor
905 N STONE ST
DELAND, FL 32720
Chiropractor
905 N STONE ST
DELAND, FL 32720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669562500, enumerated as an "organization" on October 13, 2006.

The provider is located at 905 N STONE ST DELAND, FL 32720 and the phone number is (386) 734-9995.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Wellpoint, Blue Cross Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.