HEARTLAND SURGICAL ASSISTANTS, INC
NPI 1689764763
Physician Assistant in Winter Haven, FL

NPI Status: Active since October 13, 2006

Contact Information

200 AVENUE F NE
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 381-7647

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  • Organization
  • Physician Assistant
  • Accepts Insurance

About HEARTLAND SURGICAL ASSISTANTS, INC

This page provides the complete NPI Profile along with additional information for Heartland Surgical Assistants, Inc, a primary care provider established in Winter Haven, Florida operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1689764763 assigned on October 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA1682 (FL). The provider is registered as an organization and their NPI record was last updated 4 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 Kevin K Carlisle Pac (President)

NPI
1689764763
Provider Name
HEARTLAND SURGICAL ASSISTANTS, INC
Entity Type
Organization
Location Address
200 AVENUE F NE WINTER HAVEN, FL 33881
Location Phone
(863) 381-7647
Mailing Address
5112 LAKE DEESON WOODS CT LAKELAND, FL 33805
Mailing Phone
(863) 381-7632
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2006
Last Update Date
07-21-2022
Code Navigator

A primary care provider (PCP) like Heartland Surgical Assistants, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1324 Lakeland Hills Blvd
    Lakeland, FL 33805
    (863) 381-7647
  • 4200 Sun N Lake Blvd
    Sebring, FL 33872
    (863) 471-1413

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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA1682
License State
FL
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS

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.

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

KEVIN K CARLISLE PAC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(863) 381-7632

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
DA4132OTHER (01)FLRAILROAD MEDICARE
X1592OTHER (01)FLBCBS

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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 1689764763, 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 8 → 16 → 7 7 → 14 → 5 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 4 + 6 + 8 + 7 + 1 + 2 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1689764763.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
200 AVENUE F NE, DEPT. OF PATHOLOGY
WINTER HAVEN, FL 33881
Pathology (Anatomic Pathology & Clinical Pathology)
200 AVENUE F NE, DEPT. OF PATHOLOGY
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Nurse Practitioner (Family)
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE
WINTER HAVEN, FL 33881
Psychologist
200 AVENUE F NE, WINTER HAVEN HOSPITAL INC
WINTER HAVEN, FL 33881
Pathology (Anatomic Pathology & Clinical Pathology)
200 AVENUE F NE, DEPT. OF PATHOLOGY
WINTER HAVEN, FL 33881
Internal Medicine (Critical Care Medicine)
200 AVENUE F NE
WINTER HAVEN, FL 33881
Occupational Therapist
200 AVENUE F NE
WINTER HAVEN, FL 33881
Rehabilitation Unit
200 AVENUE F NE
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, UFJP EMERGENCY DEPARTMENT
WINTER HAVEN, FL 33881
Specialist
200 AVENUE F NE
WINTER HAVEN, FL 33881
Social Worker (Clinical)
200 AVENUE F NE
WINTER HAVEN, FL 33881
Internal Medicine (Critical Care Medicine)
200 AVENUE F NE, ATTN: CHERYL PETTITT
WINTER HAVEN, FL 33881
Counselor (Mental Health)
200 AVENUE F NE
WINTER HAVEN, FL 33881

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689764763, enumerated as an "organization" on October 13, 2006.

The provider is located at 200 AVENUE F NE WINTER HAVEN, FL 33881 and the phone number is (863) 381-7647.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.