RUSSELL BURTON SMITH MD
NPI 1134112261
Otolaryngology in Jacksonville,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 24, 2005

Contact Information

1301 Palm Ave
Jacksonville,
Post Code: 32207
Phone: (904) 202-7300
Fax: (904) 202-7433

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Russell Burton Smith Md in Jacksonville - Otolaryngology

Russell Burton Smith Md is a Otolaryngology in Jacksonville, . Russell Burton Smith Md practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Russell Burton Smith Md is 1134112261. The last update date is 2023-04-21.

Russell Burton Smith Md's current location address is 1301 Palm Ave, Jacksonville, . You can contact this provider via phone number (904) 202-7300 and fax number (904) 202-7433. The mailing address for Russell Burton Smith Md is 1301 Palm Ave, Jacksonville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1134112261
Provider Name
RUSSELL BURTON SMITH MD
Gender
Male
Entity Type
Individual
Location Address
1301 Palm Ave, Jacksonville,
Location Phone
(904) 202-7300
Location Fax
(904) 202-7433
Mailing Address
661 E Altamonte Dr Ste 325, Altamonte Springs, Florida(FL)
Mailing Phone
407-303-4120
Mailing Fax
-
Enumeration Date
2005-08-24
Last Update Date
2023-04-21
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.
ME134346
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

24197 (Nebraska)
2 207YX0007X Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Otolaryngology, Plastic Surgery within the Head & Neck

ME134346 (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
0212142 MEDICAID (05) Iowa (IA)
10025044400 MEDICAID (05) Nebraska (NE)
1134112261 MEDICAID (05) Iowa (IA)
19770 Other (non-Medicare) (01) Iowa (IA) Wellmark BCBS
47078557504 MEDICAID (05) Nebraska (NE)

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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.
1134112261
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164214212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2164214212
2 + 1 + 6 + 4 + 2 + 1 + 4 + 2 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1134112261 is valid because the calculated check digit 1 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
1134111990 ARIF M QAZI
Individual
Internal Medicine 609 MEDICAL CARE DR
BRANDON, Florida (FL)
813-685-5100
1134111677 JOHN C KENNEDY
Individual
Pediatrics 134 S WOODS DR
ROCKLEDGE, Florida (FL)
321-636-3066
1134111453 THOMAS JAMES CANTILINA
Individual
Preventive Medicine, Clinical Informatics Specialist 9300 DEWITT LOOP
FORT BELVOIR, Virginia (VA)
703-681-1774
1134111313 THEODORE MORRISON
Individual
Pediatrics 4651 SHERIDAN ST.
HOLLYWOOD, Florida (FL)
954-989-6000
1134111073 CORDOVA REHAB INC
NURSING PAVILION AT CHIPOLA RETIREMENT CENTER
Organization
Skilled Nursing Facility 2 N PALAFOX ST
PENSACOLA, Florida (FL)
850-430-0000