MR. THOMAS GAVIN CO/LO
NPI 1114580107
Prosthetic/Orthotic Supplier in Oak Brook, IL

NPI Status: Active since April 16, 2019

Contact Information

1010 JORIE BLVD STE 24
OAK BROOK, IL
ZIP 60523
Phone: (630) 573-7777
Fax: (630) 573-4424

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  • Individual
  • Male
  • Prosthetic/Orthotic Supplier

About THOMAS GAVIN

This page provides the complete NPI Profile along with additional information for Thomas Gavin, a provider established in Oak Brook, Illinois with a medical specialization in Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1114580107 assigned on April 2019. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1114580107
Provider Name
MR. THOMAS GAVIN CO/LO
Gender
Male
Entity Type
Individual
Location Address
1010 JORIE BLVD STE 24 OAK BROOK, IL 60523
Location Phone
(630) 573-7777
Location Fax
(630) 573-4424
Mailing Address
1010 JORIE BLVD STE 24 OAK BROOK, IL 60523
Mailing Phone
(630) 573-7777
Mailing Fax
(630) 573-4424
Is Sole Proprietor?
Yes
Enumeration Date
04-16-2019
Last Update Date
04-16-2019
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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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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
NONEOTHER (01)NONE

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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.
1114580107
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124108010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 0 + 8 + 0 + 1 + 0 + 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 = 77

The NPI number 1114580107 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609429836GAVIN SCOLIOSIS AND SPINE CENTER, LLC
Organization
Orthotist1010 JORIE BLVD STE 24
OAK BROOK, IL 60523
(630) 573-4424
1245634898CPO SERVICES, INC.
Organization
Prosthetic/Orthotic Supplier1010 JORIE BLVD STE 24
OAK BROOK, IL 60523
(630) 897-6363

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114580107, enumerated in the NPI registry as an "individual" on April 16, 2019

The provider is located at 1010 Jorie Blvd Ste 24 Oak Brook, Il 60523 and the phone number is (630) 573-7777

The provider's speciality is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 16, 2019. 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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