J PROVO, MD
NPI 1881095479
Orthopaedic Surgery - Sports Medicine in Boca Raton, FL

NPI Status: Active since September 15, 2014

Contact Information

4705 N FEDERAL HWY
BOCA RATON, FL
ZIP 33431
Phone: (561) 405-9610

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  • Organization
  • Orthopaedic Surgery
  • Sports Medicine

About J PROVO, MD

This page provides the complete NPI Profile along with additional information for J Provo, Md, a provider established in Boca Raton, Florida operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1881095479 assigned on September 2014. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated 11 years ago. J Provo, Md operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as J Provo, Md. The authorized official of this NPI record is Dane Trask (Coo)

NPI
1881095479
Provider Legal Name
ORTHO FLORIDA, LLC
Other Organization Name
J PROVO, MD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4705 N FEDERAL HWY BOCA RATON, FL 33431
Location Phone
(561) 405-9610
Mailing Address
751 PARK OF COMMERCE DR STE 112 BOCA RATON, FL 33487
Mailing Phone
(561) 300-1792
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-15-2014
Last Update Date
10-02-2015
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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

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

DANE TRASK

Authorized Official Title
COO
Authorized Official Phone
(813) 787-1128

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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 1881095479, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
8
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 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 8 → 16 → 7 0 → 0 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 6 + 1 + 0 + 9 + 1 + 0 + 4 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1881095479.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Orthopaedic Surgery
4705 N FEDERAL HWY
BOCA RATON, FL 33431
Clinic/Center (Rehabilitation)
4705 N FEDERAL HWY
BOCA RATON, FL 33431
Family Medicine (Sports Medicine)
4705 N FEDERAL HWY
BOCA RATON, FL 33431
Orthopaedic Surgery
4705 N FEDERAL HWY
BOCA RATON, FL 33431
Durable Medical Equipment & Medical Supplies
4705 N FEDERAL HWY
BOCA RATON, FL 33431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881095479, enumerated as an "organization" on September 15, 2014.

The provider is located at 4705 N FEDERAL HWY BOCA RATON, FL 33431 and the phone number is (561) 405-9610.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.