FORT WALTON OPEN RADIOLOGY, PLLC
NPI 1710522602
Radiology - Diagnostic Radiology in Fort Walton Beach, FL

NPI Status: Active since November 14, 2019

Contact Information

908 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-9394

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • CLIA Number: 10D2040636
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 05-06-2026

About FORT WALTON OPEN RADIOLOGY, PLLC

This page provides the complete NPI Profile along with additional information for Fort Walton Open Radiology, Pllc, a provider established in Fort Walton Beach, Florida operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1710522602 assigned on November 2019. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 7 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 Ross W Barnett Md (Owner)

NPI
1710522602
Provider Name
FORT WALTON OPEN RADIOLOGY, PLLC
Entity Type
Organization
Location Address
908 MAR WALT DR FORT WALTON BEACH, FL 32547
Location Phone
(850) 862-9394
Mailing Address
PO BOX 242848 MONTGOMERY, AL 36124
Mailing Phone
(334) 270-9914
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2019
Last Update Date
11-14-2019
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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.

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

ROSS W BARNETT MD

Authorized Official Title
OWNER
Authorized Official Phone
(850) 862-9394

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
10D2040636
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
May 07, 2024
Certificate Expiration Date
May 06, 2026
Laboratory Director
NEIL ASTHANA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fort Walton Open Radiology, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1710522602, 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
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 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 + 7 + 2 + 0 + 1 + 0 + 2 + 4 + 6 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1710522602.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
908 MAR WALT DR
FORT WALTON BEACH, FL 32547
Radiology (Diagnostic Radiology)
908 MAR WALT DR
FORT WALTON BEACH, FL 32547
Radiology (Diagnostic Radiology)
908 MAR WALT DR
FORT WALTON BEACH, FL 32547

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710522602, enumerated as an "organization" on November 14, 2019.

The provider is located at 908 MAR WALT DR FORT WALTON BEACH, FL 32547 and the phone number is (850) 862-9394.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.