MAYO CLINIC JACKSONVILLE ASC FOR G.I.
NPI 1962499079
Clinic/Center - Ambulatory Surgical in Jacksonville, FL
NPI Status: Active since October 04, 2005
Contact Information
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-7355
Fax: (904) 953-1768
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About MAYO CLINIC JACKSONVILLE ASC FOR G.I.
This page provides the complete NPI Profile along with additional information for Mayo Clinic Jacksonville Asc For G.i., a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962499079 assigned on October 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 872 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Mayo Clinic Jacksonville Asc For G.i.. The authorized official of this NPI record is Alice Rigdon (Chief Financial Officer)
- NPI
- 1962499079
- Provider Legal Name
- MAYO CLINIC JACKSONVILLE
- Other Organization Name
- MAYO CLINIC JACKSONVILLE ASC FOR G.I.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4500 SAN PABLO RD S JACKSONVILLE, FL 32224
- Location Phone
- (904) 953-7355
- Location Fax
- (904) 953-1768
- Mailing Address
- 4500 SAN PABLO RD S JACKSONVILLE, FL 32224
- Mailing Phone
- (904) 953-7355
- Mailing Fax
- (904) 953-1768
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-04-2005
- Last Update Date
- 03-30-2023
- Code Navigator
Mayo Clinic Jacksonville Asc For G.i. is a medicare supplier with PTAN 23282815 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: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Antiemetic Drugs or External Infusion Pumps and/or Supplies or Ostomy Supplies or Parenteral Nutrients.
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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 872
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Biopsy of large bowel using a flexible endoscope
Biopsy of lower large bowel using a flexible endoscope
Colorectal cancer screening; colonoscopy on individual at high risk
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Diagnostic exam of large bowel using a flexible endoscope
Injection beneath lining of large bowel using a flexible endoscope
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
This service was performed 24 times for 23 patientsThis procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
This service was performed 447 times for 439 patientsA biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
This service was performed 757 times for 751 patientsA biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.
This service was performed 26 times for 26 patientsColorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
This service was performed 194 times for 194 patientsColorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
This service was performed 78 times for 78 patientsThis procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
This service was performed 61 times for 60 patientsThis procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
This service was performed 77 times for 76 patientsThis procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.
This service was performed 72 times for 72 patientsThis procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
This service was performed 528 times for 523 patientsMedical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 23282815
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Antiemetic Drugs - FDA antiemetic drugs
- External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Parenteral Nutrients - Parenteral nutrient solutions
Reviews for MAYO CLINIC JACKSONVILLE ASC FOR G.I.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 6 | 2 | 4 | 9 | 9 | 0 | 7 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 12 | 2 | 8 | 9 | 18 | 0 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 1 + 2 + 2 + 8 + 9 + 1 + 8 + 0 + 1 + 4 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1962499079 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MS. KATHERINE ANN LEMASTER LCSW, RN
Social Worker
(Clinical)
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
MS. NANCY DALTON CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. ROBERT ALLEN GILLHAM JR. M.D.
Allergy & Immunology
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. GEOFFREY STEVEN GATES M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. THOMAS PATRICK FOX M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. GRETCHEN KAY LIPKE M.D.
Emergency Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. PHILIP PAUL METZGER M.D.
Colon & Rectal Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. SANFORD JOSPEH FINCK M.D.
Internal Medicine
(Critical Care Medicine)
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. JAN MARIE LARSON M.D.
Family Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. JERRY WAYNE SAYRE M.D.
Family Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. WALTER CLYBURN TAYLOR III M.D.
Family Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. JAMES SAMUEL SCOLAPIO M.D.
Internal Medicine
(Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. RONALD ALBERT HINDER M.D.
Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. WILLIAM JAMES MAPLES M.D.
Internal Medicine
(Hematology & Oncology)
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. SHARON YVETT EZELL GERLACH M.D.
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. FRANCOIS LETTE M.D.
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. KAY MULLINAX MITCHELL M.D.
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. KENNETH GORDON NIX JR. M.D.
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. KATHLEEN ALLEN ROWLETT M.D.
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
DR. JAMES HANNIS STEWART M.D.
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962499079, enumerated as an "organization" on October 04, 2005.
The provider is located at 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 and the phone number is (904) 953-7355.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.