SOUTH BAY SURGICAL GROUP PA
NPI 1770566218
Specialist in Sun City Center, FL
NPI Status: Active since November 29, 2005
Contact Information
4020 STATE ROAD 674
SUITE 19
SUN CITY CENTER, FL
ZIP 33573
Phone: (813) 890-8004
Fax: (813) 290-9691
- Organization
- Specialist
- CLIA Number: 10D0289651
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-30-2025
About SOUTH BAY SURGICAL GROUP PA
This page provides the complete NPI Profile along with additional information for South Bay Surgical Group Pa, a provider established in Sun City Center, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1770566218 assigned on November 2005. The practitioner's primary taxonomy code is 174400000X with license number ME62723 (FL). The provider is registered as an organization and their NPI record was last updated 6 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 David T Goldsberry M.d. (Physician)
- NPI
- 1770566218
- Provider Name
- SOUTH BAY SURGICAL GROUP PA
- Entity Type
- Organization
- Location Address
- 4020 STATE ROAD 674 SUITE 19 SUN CITY CENTER, FL 33573
- Location Phone
- (813) 890-8004
- Location Fax
- (813) 290-9691
- Mailing Address
- 4020 STATE ROAD 674 SUITE 19 SUN CITY CENTER, FL 33573
- Mailing Phone
- (813) 890-8004
- Mailing Fax
- (813) 290-9691
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-29-2005
- Last Update Date
- 08-22-2020
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- ME62723
- License State
- FL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
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
- 10D0289651
- Facility Type
- Hospital
- Certificate Effective Date
- December 01, 2023
- Certificate Expiration Date
- November 30, 2025
- Laboratory Director
- DR. SOPHIA SHER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to South Bay Surgical Group Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1770566218, 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 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.
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 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SUN CITY CENTER, FL 33573
SUN CITY CENTER, FL 33573
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770566218, enumerated as an "organization" on November 29, 2005.
The provider is located at 4020 STATE ROAD 674 SUITE 19 SUN CITY CENTER, FL 33573 and the phone number is (813) 890-8004.
Specialist with taxonomy code 174400000X.
