MARC R. DEJONG MD
NPI 1477549541
Internal Medicine in Springfield,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 23, 2005

Contact Information

800 N 1st St
Springfield,
Post Code: 62702
Phone: (217) 528-7541
Fax: (217) 527-1103

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Marc R. Dejong Md in Springfield - Internal Medicine

Marc R. Dejong Md is a Internal Medicine in Springfield, . Marc R. Dejong Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Marc R. Dejong Md is 1477549541. The last update date is 2020-05-22.

Marc R. Dejong Md's current location address is 800 N 1st St, Springfield, . You can contact this provider via phone number (217) 528-7541 and fax number (217) 527-1103. The mailing address for Marc R. Dejong Md is 800 N 1st St, Springfield, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1477549541
Provider Name
MARC R. DEJONG MD
Gender
Male
Entity Type
Individual
Location Address
800 N 1st St, Springfield,
Location Phone
(217) 528-7541
Location Fax
(217) 527-1103
Mailing Address
1025 S 6th St, Springfield, Illinois(IL)
Mailing Phone
217-528-7541
Mailing Fax
217-528-8962
Enumeration Date
2005-09-23
Last Update Date
2020-05-22
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, Sports Medicine

Taxonomy Code
207RS0010X
Type
-
License No.
036114259
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

036114259 (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
036114259 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.
1477549541
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471041858
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 241471041858
2 + 4 + 1 + 4 + 7 + 1 + 0 + 4 + 1 + 8 + 5 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1 1

The NPI number 1477549541 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
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
1417950437 ILLINI OPEN MRI, LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 2147 S NEIL ST
CHAMPAIGN, Illinois (IL)
217-359-8339
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541
1356344378 LIFESCAN CHICAGO LLC
Organization
Clinic/Center, Radiology 2242 W HARRISON ST
CHICAGO, Illinois (IL)
312-243-3200