PAIN CARE OF CLEARWATER
NPI 1790094829
Clinic/Center - Pain in Clearwater, FL

NPI Status: Active since October 07, 2010

Contact Information

51 S MAIN AVE
SUITE 318
CLEARWATER, FL
ZIP 33765
Phone: (727) 572-6261
Fax: (727) 443-2501

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  • Organization
  • Clinic/Center
  • Pain
  • CLIA Number: 10D2015201
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-24-2026

About PAIN CARE OF CLEARWATER

This page provides the complete NPI Profile along with additional information for Pain Care Of Clearwater, a provider established in Clearwater, Florida operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1790094829 assigned on October 2010. The practitioner's primary taxonomy code is 261QP3300X with license number PMC1340 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Pain Care Of Clearwater. The authorized official of this NPI record is Mr. C R Long (Managing Member)

NPI
1790094829
Provider Legal Name
PAIN CARE MANAGEMENT OF CLEARWATER, LLC
Other Organization Name
PAIN CARE OF CLEARWATER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
51 S MAIN AVE SUITE 318 CLEARWATER, FL 33765
Location Phone
(727) 572-6261
Location Fax
(727) 443-2501
Mailing Address
5036 DR PHILLIPS BLVD SUITE 337 ORLANDO, FL 32819
Mailing Phone
(321) 251-4462
Mailing Fax
(727) 443-2501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2010
Last Update Date
02-13-2014
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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 Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities
License No.
PMC1340
License State
FL

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

MR. C R LONG

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(321) 251-4462

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
10D2015201
Facility Type
Physician Office
Certificate Effective Date
October 25, 2024
Certificate Expiration Date
October 24, 2026
Laboratory Director
ALEXIS P. HENDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pain Care Of Clearwater 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 1790094829, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
9
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 9 → 18 → 9 0 → 0 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 0 + 9 + 8 + 8 + 4 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1790094829.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Mental Health)
51 S MAIN AVE, SUITE 319
CLEARWATER, FL 33765
Counselor (Mental Health)
51 S MAIN AVE, 319
CLEARWATER, FL 33765
Social Worker (Clinical)
51 S MAIN AVE, STE 304
CLEARWATER, FL 33765
Family Medicine
51 S MAIN AVE, SUITE 318
CLEARWATER, FL 33765

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790094829, enumerated as an "organization" on October 07, 2010.

The provider is located at 51 S MAIN AVE SUITE 318 CLEARWATER, FL 33765 and the phone number is (727) 572-6261.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.