CENTRAL ILLINOIS PATHOLOGY, SC
NPI 1114970761
Pathology - Anatomic Pathology & Clinical Pathology in Peoria, IL
NPI Status: Active since May 17, 2006
Contact Information
530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637
Phone: (309) 624-9011
Fax: (309) 624-9152
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
About CENTRAL ILLINOIS PATHOLOGY, SC
This page provides the complete NPI Profile along with additional information for Central Illinois Pathology, Sc, a provider established in Peoria, Illinois operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1114970761 assigned on May 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Michael P Hayes M.d. (Administrator)
- NPI
- 1114970761
- Provider Name
- CENTRAL ILLINOIS PATHOLOGY, SC
- Entity Type
- Organization
- Location Address
- 530 NE GLEN OAK AVE PEORIA, IL 61637
- Location Phone
- (309) 624-9011
- Location Fax
- (309) 624-9152
- Mailing Address
- 10335 N PORT WASHINGTON RD SUITE 250 MEQUON, WI 53092
- Mailing Phone
- (262) 240-9870
- Mailing Fax
- (309) 624-9152
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 10-30-2007
- 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
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
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 |
|---|---|---|---|
| 351250 | MEDICARE PIN (08) | IL |
Reviews for CENTRAL ILLINOIS PATHOLOGY, SC
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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 | 1 | 1 | 4 | 9 | 7 | 0 | 7 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 7 | 0 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 7 + 0 + 7 + 1 + 2 + 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 1114970761 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 |
|---|---|---|---|
| 1801881446 | MISS CARA L PHILLIPS PHARMD Individual | Pharmacist | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2285 |
| 1902883648 | SAMIR SAXENA MD Individual | Internal Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 624-8818 |
| 1548201189 | DR. RAHUL K. CHAWLA MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2250 |
| 1366485906 | DR. LAYNE T. LOVELL M.D. Individual | Family Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2000 |
| 1710922182 | MICHELLE L BERTKE APN,CNP Individual | Nurse Practitioner (Family) | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2312 |
| 1669418380 | PAMELA PECENKA ANP Individual | Nurse Practitioner | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2323 |
| 1477599272 | MARC D SQUILLANTE D.O. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1750317327 | JOSEPH A SOTTILE M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1104852631 | JOANNA C GARDNER M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1356377626 | GREG J TUDOR M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1477580116 | LISA T BARKER M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1942238613 | RICHARD F MILLER M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1619906146 | PAUL M MATTHEWS M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1255360715 | JOHN W HAFNER M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1508894098 | TIMOTHY J SCHAEFER M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1639108020 | TROY S CUTLER M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1295763787 | MICHAEL A CRUZ M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1982633202 | LUCILLE A FENDRICK M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1962431585 | MARI B BAKER M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
| 1538199187 | MATT N JACKSON M.D. Individual | Emergency Medicine | 530 NE GLEN OAK AVE PEORIA, IL 61637 (309) 655-2553 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114970761, enumerated in the NPI registry as an "organization" on May 17, 2006
The provider is located at 530 Ne Glen Oak Ave Peoria, Il 61637 and the phone number is (309) 624-9011
This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider might be accepting Accepts: Molina Healthcare, 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 May 17, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.