SOUTHEASTERN INTEGRATED MEDICAL PL
NPI 1871573949
Allergy & Immunology, Allergy in Gainesville,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 17, 2006

Contact Information

4343 W Newberry Rd
Gainesville,
Post Code: 32607
Phone: (352) 224-2200
Fax: (352) 224-2484

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Southeastern Integrated Medical Pl in Gainesville - Allergy & Immunology, Allergy

Southeastern Integrated Medical Pl is a Allergy & Immunology, Allergy in Gainesville, . Southeastern Integrated Medical Pl practices all healthcare services and medical treatments related to Allergy & Immunology, Allergy. The NPI Number for Southeastern Integrated Medical Pl is 1871573949. The last update date is 2015-03-09.

Southeastern Integrated Medical Pl's current location address is 4343 W Newberry Rd, Gainesville, . You can contact this provider via phone number (352) 224-2200 and fax number (352) 224-2484. The mailing address for Southeastern Integrated Medical Pl is 4343 W Newberry Rd, Gainesville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1871573949
Provider Legal Name
SOUTHEASTERN INTEGRATED MEDICAL PL
Other Organization Name
SOUTHEASTERN INTEGRATED MEDICAL PL
Other Name Type
-
Entity Type
Organization
Location Address
4343 W Newberry Rd, Gainesville,
Location Phone
(352) 224-2200
Location Fax
(352) 224-2484
Mailing Address
4881 Nw 8th Ave, Gainesville, Florida(FL)
Mailing Phone
352-547-2373
Mailing Fax
352-416-1813
Enumeration Date
2006-01-17
Last Update Date
2015-03-09
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

Neuromusculoskeletal Medicine & OMM

Taxonomy Code
204D00000X
Type
-
License No.
-
License State
-
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 207KA0200X Allergy Physician

Allergy & Immunology, Allergy

()
2 207KI0005X Clinical & Laboratory Immunology (Allergy & Immunology) Physician

Allergy & Immunology, Clinical & Laboratory Immunology

()
3 207NS0135X Procedural Dermatology Physician

Dermatology, Procedural Dermatology

()
4 207Q00000X Family Medicine Physician

Family Medicine

()
5 207R00000X Internal Medicine Physician

Internal Medicine

()
6 207RC0001X Clinical Cardiac Electrophysiology Physician

Internal Medicine, Clinical Cardiac Electrophysiology

()
7 207RM1200X Magnetic Resonance Imaging (MRI) Internal Medicine Physician

Internal Medicine, Magnetic Resonance Imaging (MRI)

()
8 207RR0500X Rheumatology Physician

Internal Medicine, Rheumatology

()
9 207T00000X Neurological Surgery Physician

Neurological Surgery

()
10 207U00000X Nuclear Medicine Physician

Nuclear Medicine

()
11 207V00000X Obstetrics & Gynecology Physician

Obstetrics & Gynecology

()
12 207VG0400X Gynecology Physician

Obstetrics & Gynecology, Gynecology

()
13 207X00000X Orthopaedic Surgery Physician

Orthopaedic Surgery

()
14 207YS0123X Facial Plastic Surgery Physician

Otolaryngology, Facial Plastic Surgery

()

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
058586600 MEDICAID (05) Florida (FL)

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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.
1871573949
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28141107698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 28141107698
2 + 8 + 1 + 4 + 1 + 1 + 0 + 7 + 6 + 9 + 8 + 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 1871573949 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588667638 WILLIAM C PILCHER
Individual
Internal Medicine, Cardiovascular Disease 1824 KING STREET
JACKSONVILLE, Florida (FL)
904-388-1820
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1699778647 VISITING HOME HEALTH SERVICES, INC
LIFE CARE AT HOME
Organization
Home Health 3001 KEITH ST NW
CLEVELAND, Tennessee (TN)
423-473-5256
1861495814 FRANCISCO ALBERTO SMITH
Individual
Obstetrics & Gynecology, Gynecologic Oncology 1660 MEDICAL BLVD
NAPLES, Florida (FL)
239-596-1995
1306849336 ERIC L TOWNSEND
Individual
Dentist, General Practice 105 SOLANA RD
PONTE VEDRA, Florida (FL)
904-285-7711