CHILDREN'S MEDICAL CENTER (ANDRES R VILLAR MD) NPI 1689768772

Pediatrics in Glen St Mary, FL

NPI 1689768772 Organization Pediatrics

NPI Profile for CHILDREN'S MEDICAL CENTER (ANDRES R VILLAR MD)

Children's Medical Center (andres R Villar Md) is a pediatrician established in Glen St Mary, Florida specializing in pediatrics. The NPI number of Children's Medical Center (andres R Villar Md) is 1689768772 and was assigned on October 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. Children's Medical Center (andres R Villar Md) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Children's Medical Center. The authorized official of this NPI record is Andres R Villar Md (Administrator)

A pediatrician like Children's Medical Center is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

NPI

1689768772

Provider NameCHILDREN'S MEDICAL CENTER (ANDRES R VILLAR MD)
Provider Location Address6704 E MOUNT VERNON ST GLEN ST MARY, FL 32040
Provider Mailing AddressPO BOX 606 GLEN ST MARY, FL 32040
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCHILDREN'S MEDICAL CENTER
Other Name TypeDoing Business As (3)
Enumeration Date10-03-2006
Last Update Date07-22-2021


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

CHILDREN'S MEDICAL CENTER
6704 E MOUNT VERNON ST
GLEN ST MARY, FL
ZIP 32040
Phone: (904) 259-7420
Fax: (904) 259-8366

Get Directions


Mailing Address

CHILDREN'S MEDICAL CENTER
PO BOX 606
GLEN ST MARY, FL
ZIP 32040
Phone: (904) 653-1818
Fax: (904) 653-1814



Authorized Official

Authorized Official Name ANDRES R VILLAR MD
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(386) 755-5044

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
370861606MEDICAID (05)FL

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689768772
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2616914616714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 6 + 1 + 6 + 7 + 1 + 4 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1689768772 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1922007442MRS. SARA K COMBS ARNP
Individual
Nurse Practitioner (Pediatrics)6704 E MOUNT VERNON ST
GLEN ST MARY, FL 32040
(904) 259-7420
1629162722ANDRES R. VILLAR MD
Organization
Clinic/Center (Rural Health)6704 E MOUNT VERNON ST
GLEN ST MARY, FL 32040
(904) 259-7420
1790454544 RACHAEL BETROS APRN
Individual
Nurse Practitioner (Family)6704 E MOUNT VERNON ST
GLEN ST MARY, FL 32040
(904) 259-7420

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Children's Medical Center is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.