G FREDRICK HERDEL MD PA
NPI 1821281601
Specialist in New Smyrna Beach, FL

NPI Status: Active since August 24, 2007

Contact Information

845 STATE ROAD 44
NEW SMYRNA BEACH, FL
ZIP 32168
Phone: (386) 423-2550
Fax: (386) 423-2525

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  • Organization
  • Specialist
  • CLIA Number: 10D1018475
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-22-2025

About G FREDRICK HERDEL MD PA

This page provides the complete NPI Profile along with additional information for G Fredrick Herdel Md Pa, a provider established in New Smyrna Beach, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1821281601 assigned on August 2007. The practitioner's primary taxonomy code is 174400000X with license number ME 81028 (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 Lisa A Swiderski (Billing Manager)

NPI
1821281601
Provider Name
G FREDRICK HERDEL MD PA
Entity Type
Organization
Location Address
845 STATE ROAD 44 NEW SMYRNA BEACH, FL 32168
Location Phone
(386) 423-2550
Location Fax
(386) 423-2525
Mailing Address
845 STATE ROAD 44 NEW SMYRNA BEACH, FL 32168
Mailing Phone
(386) 423-2550
Mailing Fax
(386) 423-2525
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2007
Last Update Date
01-21-2013
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
ME 81028
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.

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

LISA A SWIDERSKI

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(386) 423-2525

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
10D1018475
Facility Type
Physician Office
Certificate Effective Date
October 23, 2023
Certificate Expiration Date
October 22, 2025
Laboratory Director
G FREDRICK HERDEL MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to G Fredrick Herdel Md Pa 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 1821281601, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 4 + 8 + 2 + 6 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1821281601.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
845 STATE ROAD 44
NEW SMYRNA BEACH, FL 32168
Physician Assistant
845 STATE ROAD 44
NEW SMYRNA BEACH, FL 32168
Internal Medicine
845 STATE ROAD 44
NEW SMYRNA BEACH, FL 32168
Non-Pharmacy Dispensing Site
845 STATE ROAD 44
NEW SMYRNA BEACH, FL 32168

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821281601, enumerated as an "organization" on August 24, 2007.

The provider is located at 845 STATE ROAD 44 NEW SMYRNA BEACH, FL 32168 and the phone number is (386) 423-2550.

Specialist with taxonomy code 174400000X.