SOUTHEASTERN INTEGRATED MEDICAL PL
NPI 1720419484
Physical Medicine & Rehabilitation - Pain Medicine in Chiefland, FL
NPI Status: Active since December 06, 2013
Contact Information
1315 NW 21ST AVE
SUITE 2
CHIEFLAND, FL
ZIP 32626
Phone: (352) 493-1741
Fax: (352) 490-8641
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
About SOUTHEASTERN INTEGRATED MEDICAL PL
This page provides the complete NPI Profile along with additional information for Southeastern Integrated Medical Pl, a provider established in Chiefland, Florida operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1720419484 assigned on December 2013. The practitioner's primary taxonomy code is 2081P2900X with license number ME68806 (FL). 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 Jesse A Libnick M.d. (Physician)
- NPI
- 1720419484
- Provider Name
- SOUTHEASTERN INTEGRATED MEDICAL PL
- Entity Type
- Organization
- Location Address
- 1315 NW 21ST AVE SUITE 2 CHIEFLAND, FL 32626
- Location Phone
- (352) 493-1741
- Location Fax
- (352) 490-8641
- Mailing Address
- 1315 NW 21ST AVE SUITE 2 CHIEFLAND, FL 32626
- Mailing Phone
- (352) 493-1741
- Mailing Fax
- (352) 490-8641
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-06-2013
- Last Update Date
- 12-06-2013
- 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
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME68806
- License State
- FL
- Taxonomy Description
- A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
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 |
|---|---|---|---|
| 058586600 | MEDICAID (05) | 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 1720419484, 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 16 providers are registered at the same or a nearby location.
CHIEFLAND, FL 32626
CHIEFLAND, FL 32626
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720419484, enumerated as an "organization" on December 06, 2013.
The provider is located at 1315 NW 21ST AVE SUITE 2 CHIEFLAND, FL 32626 and the phone number is (352) 493-1741.
Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
