KEITH REYNOLDS WARREN MD
NPI 1164493854
Internal Medicine in Winfield,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 30, 2006

Contact Information

25 N Winfield Rd
Winfield,
Post Code: 60007
Phone: (630) 690-4993
Fax: (630) 690-2293

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Keith Reynolds Warren Md in Winfield - Internal Medicine

Keith Reynolds Warren Md is a Internal Medicine in Winfield, . Keith Reynolds Warren Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Keith Reynolds Warren Md is 1164493854. The last update date is 2015-04-15.

Keith Reynolds Warren Md's current location address is 25 N Winfield Rd, Winfield, . You can contact this provider via phone number (630) 690-4993 and fax number (630) 690-2293. The mailing address for Keith Reynolds Warren Md is 25 N Winfield Rd, Winfield, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1164493854
Provider Name
KEITH REYNOLDS WARREN MD
Gender
Male
Entity Type
Individual
Location Address
25 N Winfield Rd, Winfield,
Location Phone
(630) 690-4993
Location Fax
(630) 690-2293
Mailing Address
25 N Winfield Rd, Winfield, Illinois(IL)
Mailing Phone
630-690-4993
Mailing Fax
630-690-2293
Enumeration Date
2006-01-30
Last Update Date
2015-04-15
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

Internal Medicine, Sleep Medicine

Taxonomy Code
207RS0012X
Type
-
License No.
036125979
License State
Illinois (IL)
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 207R00000X Internal Medicine Physician

Internal Medicine

42-0010962 (Vermont)
2 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

13059 (New Hampshire)
3 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

036125979 (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
036125979 MEDICAID (05) Illinois (IL)
F400188615 Other (non-Medicare) (01) Illinois (IL) Medicare PTAN (individual)
206147 Other (non-Medicare) (01) Illinois (IL) Medicare PTAN (group)

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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.
1164493854
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124896810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21124896810
2 + 1 + 1 + 2 + 4 + 8 + 9 + 6 + 8 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1164493854 is valid because the calculated check digit 4 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
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541
1114920311 GREGORY ALLEN THOMPSON
Individual
Internal Medicine, Infectious Disease 33 W MONROE ST
CHICAGO, Illinois (IL)
312-894-5784
1124021308 JULIA RACKLEY PERRY MEMORIAL HOSPITAL
PERRY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital, Critical Access 530 PARK AVE E
PRINCETON, Illinois (IL)
815-875-2811