JASON REDWOOD BOOLE M.D.
NPI 1104818350
Otolaryngology in Fort Walton Beach,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 15, 2005

Contact Information

310 Racetrack Rd Nw Ste 100
Fort Walton Beach,
Post Code: 32547
Phone: (850) 889-4550
Fax: (850) 889-4549

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Jason Redwood Boole M.d. in Fort Walton Beach - Otolaryngology

Jason Redwood Boole M.d. is a Otolaryngology in Fort Walton Beach, . Jason Redwood Boole M.d. practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jason Redwood Boole M.d. is 1104818350. The last update date is 2019-04-13.

Jason Redwood Boole M.d.'s current location address is 310 Racetrack Rd Nw Ste 100, Fort Walton Beach, . You can contact this provider via phone number (850) 889-4550 and fax number (850) 889-4549. The mailing address for Jason Redwood Boole M.d. is 310 Racetrack Rd Nw Ste 100, Fort Walton Beach, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104818350
Provider Name
JASON REDWOOD BOOLE M.D.
Gender
Male
Entity Type
Individual
Location Address
310 Racetrack Rd Nw Ste 100, Fort Walton Beach,
Location Phone
(850) 889-4550
Location Fax
(850) 889-4549
Mailing Address
310 Racetrack Rd Nw, Fort Walton Beach, Florida(FL)
Mailing Phone
850-889-4550
Mailing Fax
850-807-5217
Enumeration Date
2005-08-15
Last Update Date
2019-04-13
Code Navigator

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

Otolaryngology

Taxonomy Code
207Y00000X
Type
-
License No.
ME96773
License State
Florida (FL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207Y00000X Otolaryngology Physician

Otolaryngology

L9631 (Texas)
2 207YS0012X Sleep Medicine (Otolaryngology) Physician

Otolaryngology, Sleep Medicine

ME96773 (Florida)
3 207YS0012X Sleep Medicine (Otolaryngology) Physician

Otolaryngology, Sleep Medicine

L9631 (Texas)
4 207YX0602X Otolaryngic Allergy Physician

Otolaryngology, Otolaryngic Allergy

ME96773 (Florida)

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

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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.
1104818350
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416116310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 210416116310
2 + 1 + 0 + 4 + 1 + 6 + 1 + 1 + 6 + 3 + 1 + 0 + 24 = 50
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1104818350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1003819038 LESTER GOLDBERG
Individual
Radiology, Diagnostic Radiology 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1043213234 BHUPINDER S MANGAT
Individual
Specialist 1403 MEDICAL PLAZA DR
SANFORD, Florida (FL)
407-324-5500
1063415248 JORDAN DITCHEK
Individual
Radiology, Body Imaging 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1043213051 MARK S GOROVOY
Individual
Ophthalmology 12381 S CLEVELAND AVE STE 300
FORT MYERS, Florida (FL)
239-939-1444
1033112156 STACIA H GOLDEY
Individual
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery 148 13TH ST SW
LARGO, Florida (FL)
727-581-8706