KONSTANTIN DZAMASHVILI MD
NPI 1174529085
Psychiatry & Neurology, Neurology in Fort Myers,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 24, 2005

Contact Information

12670 Whitehall Dr
Fort Myers,
Post Code: 33907
Phone: (239) 936-3554
Fax: (239) 936-8993

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Konstantin Dzamashvili Md in Fort Myers - Psychiatry & Neurology, Neurology

Konstantin Dzamashvili Md is a Psychiatry & Neurology, Neurology in Fort Myers, . Konstantin Dzamashvili Md practices all healthcare services and medical treatments related to Psychiatry & Neurology, Neurology. The NPI Number for Konstantin Dzamashvili Md is 1174529085. The last update date is 2016-11-18.

Konstantin Dzamashvili Md's current location address is 12670 Whitehall Dr, Fort Myers, . You can contact this provider via phone number (239) 936-3554 and fax number (239) 936-8993. The mailing address for Konstantin Dzamashvili Md is 12670 Whitehall Dr, Fort Myers, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1174529085
Provider Name
KONSTANTIN DZAMASHVILI MD
Gender
Male
Entity Type
Individual
Location Address
12670 Whitehall Dr, Fort Myers,
Location Phone
(239) 936-3554
Location Fax
(239) 936-8993
Mailing Address
12670 Whitehall Dr, Fort Myers, Florida(FL)
Mailing Phone
239-936-3554
Mailing Fax
239-936-8993
Enumeration Date
2005-06-24
Last Update Date
2016-11-18
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

Psychiatry & Neurology, Neurology

Taxonomy Code
2084N0400X
Type
-
License No.
ME126918
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 2084N0400X Neurology Physician

Psychiatry & Neurology, Neurology

036093821 (Illinois)
2 2084V0102X Vascular Neurology Physician

Psychiatry & Neurology, Vascular Neurology

036093821 (Illinois)

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
036093821 Other (non-Medicare) (01) Illinois (IL) State License
036093821 MEDICAID (05) Illinois (IL)
206147 Other (non-Medicare) (01) () MEDICARE PTAN (GROUP)
206147046 Other (non-Medicare) (01) () MEDICARE PTAN (INDIVIDUAL)
CA4748 Other (non-Medicare) (01) () Medicare Railroad (Group)
P00904562 Other (non-Medicare) (01) () Medicare Railroad (Provider)

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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.
1174529085
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114410218016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2114410218016
2 + 1 + 1 + 4 + 4 + 1 + 0 + 2 + 1 + 8 + 0 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1174529085 is valid because the calculated check digit 5 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
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1003819038 LESTER GOLDBERG
Individual
Radiology, Diagnostic Radiology 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1154324176 RICK ALLEN DAMRON
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD STE 200
TALLAHASSEE, Florida (FL)
850-878-8235
1154324382 RICHARD CLOSE
Individual
Nurse Practitioner MEMORIAL HOSPITAL WEST
PEMBROKE PINES, Florida (FL)
954-844-7135
1134122328 MEDFUND LLC
HORIZON CORAL SPRINGS LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490