DERRICK LAVAR RAYSOR IDC
NPI 1942512231
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, FL

NPI Status: Active since July 02, 2010

Contact Information

2104 MASSEY AVE
JACKSONVILLE, FL
ZIP 32228
Phone: (904) 270-4233

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About DERRICK RAYSOR

This page provides the complete NPI Profile along with additional information for Derrick Raysor, a provider established in Jacksonville, Florida with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1942512231 assigned on July 2010. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1942512231
Provider Name
DERRICK LAVAR RAYSOR IDC
Gender
Male
Entity Type
Individual
Location Address
2104 MASSEY AVE JACKSONVILLE, FL 32228
Location Phone
(904) 270-4233
Mailing Address
10088 KIT FOX PKWY JACKSONVILLE, FL 32222
Mailing Phone
(904) 686-6040
Is Sole Proprietor?
No
Enumeration Date
07-02-2010
Last Update Date
04-05-2019
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Location Map

Secondary Locations

  • 1212 E 1st St Apt 88
    Jacksonville, FL 32206
    (904) 686-6040
  • 2080 Child St
    Jacksonville, FL 32214
    (904) 542-7300

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

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
Taxonomy Description
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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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 1942512231, 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
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
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 4 → 8 5 → 10 → 1 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 1 + 0 + 1 + 4 + 2 + 6 + 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 1942512231.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
2104 MASSEY AVE, NBHC MAYPORT
MAYPORT, FL 32228
Dentist
2104 MASSEY AVE
MAYPORT, FL 32228
Pharmacist
2104 MASSEY AVE
MAYPORT, FL 32228
Military Health Care Provider (Independent Duty Corpsman)
2104 MASSEY AVE
JACKSONVILLE, FL 32228
Military Health Care Provider (Independent Duty Corpsman)
2104 MASSEY AVE
JACKSONVILLE, FL 32228
Military Health Care Provider (Independent Duty Corpsman)
2104 MASSEY AVE
JACKSONVILLE, FL 32228
Physical Therapist
2104 MASSEY AVE
JACKSONVILLE, FL 32228
Registered Nurse (Occupational Health)
2104 MASSEY AVE, NBHC NAVAL STATION MAYPORT
JACKSONVILLE, FL 32228
Pharmacist (Ambulatory Care)
2104 MASSEY AVE
JACKSONVILLE, FL 32228
Dental Hygienist
2104 MASSEY AVE
JACKSONVILLE, FL 32228
Dental Hygienist
2104 MASSEY AVE
JACKSONVILLE, FL 32228
Dentist (Endodontics)
2104 MASSEY AVE
NS MAYPORT, FL 32228
Dental Hygienist
2104 MASSEY AVE, ROOM 2065
MAYPORT NAVAL STA, FL 32228
Military Health Care Provider (Independent Duty Corpsman)
2104 MASSEY AVE
MAYPORT, FL 32228
Physical Therapy Assistant
2104 MASSEY AVE
JACKSONVILLE, FL 32228
Dentist (General Practice)
2104 MASSEY AVE
MAYPORT, FL 32228
Pharmacist
2104 MASSEY AVE
JACKSONVILLE, FL 32228
Military Health Care Provider
2104 MASSEY AVE, BUILDING 2104
JACKSONVILLE, FL 32228
Registered Nurse (Case Management)
2104 MASSEY AVE, BUILDING 2104
JACKSONVILLE, FL 32228
Nurse Practitioner (Family)
2104 MASSEY AVE
JACKSONVILLE, FL 32228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942512231, enumerated as an "individual" on July 02, 2010.

The provider is located at 2104 MASSEY AVE JACKSONVILLE, FL 32228 and the phone number is (904) 270-4233.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.