SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC
NPI 1023001377
Clinic/center, Ambulatory Surgical in Herrin,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 23, 2005

Contact Information

510 Lincoln Dr
Herrin,
Post Code: 62948
Phone: (618) 997-3100
Fax: (618) 997-3616

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Southern Illinois Orthopedic Center,llc in Herrin - Clinic/Center, Ambulatory Surgical

Southern Illinois Orthopedic Center,llc is a Clinic/Center, Ambulatory Surgical in Herrin, . Southern Illinois Orthopedic Center,llc practices all healthcare services and medical treatments related to Clinic/Center, Ambulatory Surgical. The NPI Number for Southern Illinois Orthopedic Center,llc is 1023001377. The last update date is 2024-05-28.

Southern Illinois Orthopedic Center,llc's current location address is 510 Lincoln Dr, Herrin, . You can contact this provider via phone number (618) 997-3100 and fax number (618) 997-3616. The mailing address for Southern Illinois Orthopedic Center,llc is 510 Lincoln Dr, Herrin, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023001377
Provider Legal Name
SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC
Other Organization Name
SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC
Other Name Type
-
Entity Type
Organization
Location Address
510 Lincoln Dr, Herrin,
Location Phone
(618) 997-3100
Location Fax
(618) 997-3616
Mailing Address
600 S Cliff Ave Ste 106, Sioux Falls, South Dakota(SD)
Mailing Phone
618-997-3100
Mailing Fax
618-997-3616
Enumeration Date
2005-08-23
Last Update Date
2024-05-28
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

Clinic/Center, Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
-
License No.
7002421
License State
Illinois (IL)
Taxonomy Description
-

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
066440 Other (non-Medicare) (01) () Health Alliance
133621000 Other (non-Medicare) (01) () US Dept of Labor
1458 Other (non-Medicare) (01) Illinois (IL) BC/BS
441874 Other (non-Medicare) (01) () Healthlink
========= Other (non-Medicare) (01) () Champva
========= Other (non-Medicare) (01) () John Deere Health
========= Other (non-Medicare) (01) () Tricare
========= MEDICAID (05) Illinois (IL)

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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.
1023001377
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043002314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2043002314
2 + 0 + 4 + 3 + 0 + 0 + 2 + 3 + 1 + 4 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 7 7

The NPI number 1023001377 is valid because the calculated check digit 7 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
1023001187 PARUL GUPTA
Individual
Specialist 680 N LAKE SHORE DR
CHICAGO, Illinois (IL)
312-943-3300
1023000908 BOYD A. MCCRACKEN
Individual
Family Medicine 201 HEALTH CARE DR
GREENVILLE, Illinois (IL)
618-664-1380
1023000726 JILL M. MAIDA
Individual
Physical Therapist 790 REMINGTON BLVD
BOLINGBROOK, Illinois (IL)
1023000700 PAUL MARK SULLIVAN
Individual
Chiropractor 19454 TRAMORE LN
MOKENA, Illinois (IL)
708-460-8688
1023000551 DAN EDWARD MILLER
Individual
Nurse Anesthetist, Certified Registered 35 ALBANY RD
CARBONDALE, Illinois (IL)
618-457-5111