TAMPA BAY ORTHOPAEDIC DESIGNS, INC.
NPI 1861685083
Prosthetic/Orthotic Supplier in Brandon, FL

NPI Status: Active since August 21, 2007

Contact Information

667 S KINGS AVE
BRANDON, FL
ZIP 33511
Phone: (813) 661-9162
Fax: (813) 662-9347

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About TAMPA BAY ORTHOPAEDIC DESIGNS, INC.

This page provides the complete NPI Profile along with additional information for Tampa Bay Orthopaedic Designs, Inc., a provider established in Brandon, Florida operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1861685083 assigned on August 2007. The practitioner's primary taxonomy code is 335E00000X with license number POR124 (FL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Olaf Mickle Holm Prosthetist/orthotis (President)

NPI
1861685083
Provider Name
TAMPA BAY ORTHOPAEDIC DESIGNS, INC.
Entity Type
Organization
Location Address
667 S KINGS AVE BRANDON, FL 33511
Location Phone
(813) 661-9162
Location Fax
(813) 662-9347
Mailing Address
667 S KINGS AVE BRANDON, FL 33511
Mailing Phone
(813) 661-9162
Mailing Fax
(813) 662-9347
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-21-2007
Last Update Date
11-27-2023
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Tampa Bay Orthopaedic Designs, Inc. is a medicare supplier with PTAN 20591723 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
POR124
License State
FL
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1335E00000XSuppliers

Prosthetic/Orthotic Supplier

 

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.

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

OLAF MICKLE HOLM PROSTHETIST/ORTHOTIS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(813) 661-9162

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
M2713OTHER (01)FLBC/BS OF FL
1861685083OTHER (01)FLNPI

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20591723
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

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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 1861685083, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 2 + 8 + 1 + 0 + 0 + 1 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1861685083.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861685083, enumerated as an "organization" on August 21, 2007.

The provider is located at 667 S KINGS AVE BRANDON, FL 33511 and the phone number is (813) 661-9162.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

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