LAKE SHORE SPECIALTY GROUP
NPI 1730275538
Clinic/Center in Lake City, FL

NPI Status: Active since October 05, 2006

Contact Information

368 NE FRANKLIN ST
LAKE CITY, FL
ZIP 32055
Phone: (386) 754-8000
Fax: (352) 733-0069

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  • Organization
  • Clinic/Center

About LAKE SHORE SPECIALTY GROUP

This page provides the complete NPI Profile along with additional information for Lake Shore Specialty Group, a provider established in Lake City, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1730275538 assigned on October 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 4258 (FL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Lake Shore Specialty Group. The authorized official of this NPI record is Ms. Jodi Mansfield (Sr. Vice President & Coo)

NPI
1730275538
Provider Legal Name
SHANDS AT LAKE SHORE INC
Other Organization Name
LAKE SHORE SPECIALTY GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
368 NE FRANKLIN ST LAKE CITY, FL 32055
Location Phone
(386) 754-8000
Location Fax
(352) 733-0069
Mailing Address
720 SW 2ND AVE SUITE 360C GAINESVILLE, FL 32601
Mailing Phone
(352) 733-0060
Mailing Fax
(352) 733-0069
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-05-2006
Last Update Date
05-07-2008
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
4258
License State
FL
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

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

MS. JODI MANSFIELD

Authorized Official Title
SR. VICE PRESIDENT & COO
Authorized Official Phone
(352) 265-0440

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
264258100MEDICAID (05)FL 
CK8077OTHER (01)FLMEDICARE RR
0102MEDICARE PIN (08)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 1730275538, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 4 + 7 + 1 + 0 + 5 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1730275538.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Anesthesiology
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Pharmacy
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Physician Assistant
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Physician Assistant (Medical)
368 NE FRANKLIN ST
LAKE CITY, FL 32055
General Acute Care Hospital (Children)
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Pharmacist
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Pharmacist
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Anesthesiology
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Pediatrics (Pediatric Critical Care Medicine)
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Emergency Medicine
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Medicare Defined Swing Bed Unit
368 NE FRANKLIN ST
LAKE CITY, FL 32055
General Acute Care Hospital
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Emergency Medicine
368 NE FRANKLIN ST
LAKE CITY, FL 32055
Pediatrics
368 NE FRANKLIN ST
LAKE CITY, FL 32055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730275538, enumerated as an "organization" on October 05, 2006.

The provider is located at 368 NE FRANKLIN ST LAKE CITY, FL 32055 and the phone number is (386) 754-8000.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.