CARLE WEST PHYSICIAN GROUP INC
NPI 1033866801
Durable Medical Equipment & Medical Supplies in Bloomington, IL
NPI Status: Active since March 02, 2022
Contact Information
1111 TRINITY LN STE 111
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 663-6461
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 14D2193071
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-16-2026
About CARLE WEST PHYSICIAN GROUP INC
This page provides the complete NPI Profile along with additional information for Carle West Physician Group Inc, a provider established in Bloomington, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1033866801 assigned on March 2022. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is James C Leonard (President)
- NPI
- 1033866801
- Provider Name
- CARLE WEST PHYSICIAN GROUP INC
- Entity Type
- Organization
- Location Address
- 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704
- Location Phone
- (309) 663-6461
- Mailing Address
- 3310 FIELDS SOUTH DR FAPC CHAMPAIGN, IL 61822
- Mailing Phone
- (217) 902-5291
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-02-2022
- Last Update Date
- 03-02-2022
- Code Navigator
Location Map
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2193071
- Facility Type
- Physician Office
- Certificate Effective Date
- September 17, 2024
- Certificate Expiration Date
- September 16, 2026
- Laboratory Director
- STEPHEN HILL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Carle West Physician Group Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 0 | 3 | 3 | 8 | 6 | 6 | 8 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 16 | 6 | 12 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 6 + 6 + 1 + 2 + 8 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1033866801 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528176138 | MR. EDWARD LEE PONCE PT Individual | Physical Medicine & Rehabilitation | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1164939179 | LUKAS DOMINIC MANIERI ATC, OTC Individual | Specialist/Technologist (Athletic Trainer) | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1144633579 | DR. ASHLEY R ANDERSON PT, DPT Individual | Physical Therapist | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1134690522 | MR. MATTHEW A KRESNICKA DPT Individual | Physical Therapist | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1629391529 | MS. ANN K MARTIN DPT Individual | Physical Therapist | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1063054278 | NICHOLAS RAY VON HOLTEN PA-C Individual | Physician Assistant | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1063655629 | DR. ELIZABETH K PLOCHER M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1710578117 | MR. PARKER BRANDT JOHNSON PA-C Individual | Physician Assistant | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1316582273 | NICOLE CHRISTINE SNODGRASS PA-C Individual | Orthopaedic Surgery | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1386993285 | STORMIE LEATHERS DPT Individual | Physical Therapist | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1548675945 | MR. JACOB SMITH PA-C, ATC Individual | Physician Assistant | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1609875798 | MS. KIMBERLY KELLEHER RHODA OT Individual | Occupational Therapist (Hand) | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1619407863 | MRS. DEBBIE NOVTNEY WIETFELDT DNP Individual | Nurse Practitioner (Family) | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1801181920 | DR. SHAUN KINK M.D. Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1689687709 | MR. NEIL ALLEN JEPSON PHD Individual | Psychologist (Clinical) | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1043610199 | EDWARD ERICKSEN Individual | Physical Therapist | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1205988458 | JACLYN MARIE WALKER MPT Individual | Physical Therapist | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 242-2713 |
| 1942954169 | CAROLYN HAGERTY FNP-BC Individual | Nurse Practitioner (Family) | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
| 1285194282 | DR. LAUREN M CHRISTIE DPM Individual | Podiatrist (Foot & Ankle Surgery) | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 608-5100 |
| 1821602301 | JILL LEVIN DPT Individual | Physical Therapist | 1111 TRINITY LN STE 111 BLOOMINGTON, IL 61704 (309) 663-6461 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033866801, enumerated in the NPI registry as an "organization" on March 02, 2022
The provider is located at 1111 Trinity Ln Ste 111 Bloomington, Il 61704 and the phone number is (309) 663-6461
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider's CLIA number is 14D2193071 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 02, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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