THEODORE REXFORD ADDAI M.D.
NPI 1912985185
Specialist in Decatur,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 6, 2006

Contact Information

1770 E Lake Shore Dr Ste 105
Decatur,
Post Code: 62521
Phone: (217) 422-6100
Fax: (833) 784-5326

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Theodore Rexford Addai M.d. in Decatur - Specialist

Theodore Rexford Addai M.d. is a Specialist in Decatur, . Theodore Rexford Addai M.d. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Theodore Rexford Addai M.d. is 1912985185. The last update date is 2021-12-20.

Theodore Rexford Addai M.d.'s current location address is 1770 E Lake Shore Dr Ste 105, Decatur, . You can contact this provider via phone number (217) 422-6100 and fax number (833) 784-5326. The mailing address for Theodore Rexford Addai M.d. is 1770 E Lake Shore Dr Ste 105, Decatur, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1912985185
Provider Name
THEODORE REXFORD ADDAI M.D.
Gender
Male
Entity Type
Individual
Location Address
1770 E Lake Shore Dr Ste 105, Decatur,
Location Phone
(217) 422-6100
Location Fax
(833) 784-5326
Mailing Address
1770 E Lake Shore Dr Ste 105, Decatur, Illinois(IL)
Mailing Phone
217-422-6100
Mailing Fax
833-784-5326
Enumeration Date
2006-01-06
Last Update Date
2021-12-20
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, Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
-
License No.
036078026
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 174400000X Specialist

Specialist

036078026 (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
000334245 Other (non-Medicare) (01) Illinois (IL) Railroad
036078026 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.
1912985185
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292218810116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 292218810116
2 + 9 + 2 + 2 + 1 + 8 + 8 + 1 + 0 + 1 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5 5

The NPI number 1912985185 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
1912985060 EISELE'S CASEYVILLE PHARM
Organization
Pharmacy PO BOX 335
CASEYVILLE, Illinois (IL)
618-345-9702
1912984881 TERRENCE DEMOS
Individual
Radiology, Diagnostic Radiology 2160 S FIRST AVE
MAYWOOD, Illinois (IL)
708-216-5221
1912984774 GEORGEMILLER, WHYTE & ASSOCIATES, PC
Organization
Psychologist, Clinical 800 E NORTHWEST HIGHWAY
MOUNT PROSPECT, Illinois (IL)
847-696-1100
1912984766 YAGNESH V. OZA
Individual
Internal Medicine, Hematology & Oncology 14995 N..42ND ST
MT. VERNON, Illinois (IL)
618-242-6484
1912984527 THOMAS H MILLER
Individual
Family Medicine, Sports Medicine 612 N 11TH ST
QUINCY, Illinois (IL)
217-224-9484