WINTER HAVEN CARDIOVASCULAR ASSOCIATES PL
NPI 1992748776
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Winter Haven, FL

NPI Status: Active since June 13, 2006

Contact Information

200 AVENUE F NE
2 MAIN ENDO HALL #4
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 294-8400
Fax: (863) 294-8536

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  • Organization
  • Thoracic Surgery (Cardiothoracic Vascula...
  • Accepts Insurance
  • CLIA Number: 10D0715083
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

About WINTER HAVEN CARDIOVASCULAR ASSOCIATES PL

This page provides the complete NPI Profile along with additional information for Winter Haven Cardiovascular Associates Pl, a provider established in Winter Haven, Florida operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1992748776 assigned on June 2006. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Treva D. Widdis (Administrator)

NPI
1992748776
Provider Name
WINTER HAVEN CARDIOVASCULAR ASSOCIATES PL
Entity Type
Organization
Location Address
200 AVENUE F NE 2 MAIN ENDO HALL #4 WINTER HAVEN, FL 33881
Location Phone
(863) 294-8400
Location Fax
(863) 294-8536
Mailing Address
700 DOCTORS CT LEESBURG, FL 34748
Mailing Phone
(352) 787-9838
Mailing Fax
(863) 294-8536
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-13-2006
Last Update Date
06-05-2020
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO

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

TREVA D. WIDDIS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(352) 787-9838

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
273688800MEDICAID (05)FL 
98928OTHER (01)FLBCBS OF FLORIDA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0715083
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DR. REJI NAIR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Winter Haven Cardiovascular Associates Pl to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WINTER HAVEN CARDIOVASCULAR ASSOCIATES PL

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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 1992748776, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 7 → 14 → 5 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 8 + 2 + 1 + 4 + 4 + 1 + 6 + 7 + 1 + 4 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1992748776.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
200 AVENUE F NE, DEPT. OF PATHOLOGY
WINTER HAVEN, FL 33881
Pathology (Anatomic Pathology & Clinical Pathology)
200 AVENUE F NE, DEPT. OF PATHOLOGY
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Nurse Practitioner (Family)
200 AVENUE F NE, WINTER HAVEN HOSPITAL
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE
WINTER HAVEN, FL 33881
Psychologist
200 AVENUE F NE, WINTER HAVEN HOSPITAL INC
WINTER HAVEN, FL 33881
Pathology (Anatomic Pathology & Clinical Pathology)
200 AVENUE F NE, DEPT. OF PATHOLOGY
WINTER HAVEN, FL 33881
Internal Medicine (Critical Care Medicine)
200 AVENUE F NE
WINTER HAVEN, FL 33881
Occupational Therapist
200 AVENUE F NE
WINTER HAVEN, FL 33881
Rehabilitation Unit
200 AVENUE F NE
WINTER HAVEN, FL 33881
Emergency Medicine
200 AVENUE F NE, UFJP EMERGENCY DEPARTMENT
WINTER HAVEN, FL 33881
Specialist
200 AVENUE F NE
WINTER HAVEN, FL 33881
Social Worker (Clinical)
200 AVENUE F NE
WINTER HAVEN, FL 33881
Internal Medicine (Critical Care Medicine)
200 AVENUE F NE, ATTN: CHERYL PETTITT
WINTER HAVEN, FL 33881
Counselor (Mental Health)
200 AVENUE F NE
WINTER HAVEN, FL 33881

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992748776, enumerated as an "organization" on June 13, 2006.

The provider is located at 200 AVENUE F NE 2 MAIN ENDO HALL #4 WINTER HAVEN, FL 33881 and the phone number is (863) 294-8400.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

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