FM MEDICAL CLINIC LLC
NPI 1891298790
Clinic/Center in St Augustine, FL

NPI Status: Active since March 16, 2018

Contact Information

165 SOUTHPARK BLVD
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 823-8833
Fax: (904) 823-9394

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  • Organization
  • Clinic/Center

About FM MEDICAL CLINIC LLC

This page provides the complete NPI Profile along with additional information for Fm Medical Clinic Llc, a provider established in St Augustine, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1891298790 assigned on March 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Scott R Michaels Md (Clinic Director)

NPI
1891298790
Provider Name
FM MEDICAL CLINIC LLC
Entity Type
Organization
Location Address
165 SOUTHPARK BLVD ST AUGUSTINE, FL 32086
Location Phone
(904) 823-8833
Location Fax
(904) 823-9394
Mailing Address
165 SOUTHPARK BLVD ST AUGUSTINE, FL 32086
Mailing Phone
(904) 823-8833
Mailing Fax
(904) 823-9394
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2018
Last Update Date
03-17-2018
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Location Map

Secondary Locations

  • 3560 AIA South
    ST AUGUSTINE Beach, FL 32086
    (904) 823-8833

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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

*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

DR. SCOTT R MICHAELS MD

Authorized Official Title
CLINIC DIRECTOR
Authorized Official Phone
(904) 823-8833

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
M242796603210OTHER (01)FLDRIVERS LICENSES

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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 1891298790, we treat the final digit (0) 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 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 2 → 4 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 8 + 1 + 4 + 9 + 1 + 6 + 7 + 1 + 8 + 24 = 80

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

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

80 - 80 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1891298790.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
Social Worker (Clinical)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
Counselor (Mental Health)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
Registered Nurse (Psychiatric/Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
Clinical Medical Laboratory
165 SOUTHPARK BLVD, SUITE A
ST AUGUSTINE, FL 32086
Social Worker (Clinical)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
Counselor (Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
Social Worker (Clinical)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
Registered Nurse (Psychiatric/Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
Counselor
165 SOUTHPARK BLVD, SUITE C
ST AUGUSTINE, FL 32086
Massage Therapist
165 SOUTHPARK BLVD, SUITE C AND D
ST AUGUSTINE, FL 32086
Clinic/Center (Multi-Specialty)
165 SOUTHPARK BLVD, SUITE C & D
ST AUGUSTINE, FL 32086
Massage Therapist
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
Counselor (Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891298790, enumerated as an "organization" on March 16, 2018.

The provider is located at 165 SOUTHPARK BLVD ST AUGUSTINE, FL 32086 and the phone number is (904) 823-8833.

Clinic/Center with taxonomy code 261Q00000X.

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