MARK E MULLENDORE M.D.
NPI 1275543910
Internal Medicine in Springfield, IL
NPI Status: Active since August 08, 2006
Contact Information
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 698-9722
Fax: (217) 391-0392
- Individual
- Male
- Internal Medicine
About MARK MULLENDORE
This page provides the complete NPI Profile along with additional information for Mark Mullendore, an internist established in Springfield, Illinois with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1275543910 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number 036057331 (IL). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1275543910
- Provider Name
- MARK E MULLENDORE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704
- Location Phone
- (217) 698-9722
- Location Fax
- (217) 391-0392
- Mailing Address
- PO BOX 500 CHATHAM, IL 62629
- Mailing Phone
- (217) 670-2424
- Mailing Fax
- (217) 391-0392
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-08-2006
- Last Update Date
- 12-16-2011
- Code Navigator
An internist like Mark Mullendore is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036057331
- License State
- IL
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
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 |
|---|---|---|---|
| 101525 | OTHER (01) | IL | HEALTHLINK |
| 14D0949277 | OTHER (01) | IL | CLIA |
| 020057300 | OTHER (01) | IL | BLACK LUNG |
| 036057331 | MEDICAID (05) | IL | |
| 170777 | OTHER (01) | IL | PERSONAL CARE |
| 110140987 | OTHER (01) | IL | RR MEDICARE PIN |
| C44948 | MEDICARE UPIN (02) | IL | |
| 6394P | OTHER (01) | IL | CATERPILLAR |
| 054501 | OTHER (01) | IL | HEALTH ALLIANCE |
| 133586700 | OTHER (01) | IL | ACS-OWCP |
| CD7143 | OTHER (01) | IL | RR MEDICARE GROUP |
| 036057331 | OTHER (01) | IL | IL STATE LICENSE |
| 08421024 | OTHER (01) | IL | BC/BS |
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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 | 2 | 7 | 5 | 5 | 4 | 3 | 9 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 4 | 6 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 4 + 6 + 9 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1275543910 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1467441550 | MR. JULIO CESAR VIJIL SR. MD Individual | Surgery | 2901 OLD JACKSONVILLE RD SUITE B3 SPRINGFIELD, IL 62704 (217) 698-8850 |
| 1568471274 | DR. DAVID M BEATTY MD Individual | Family Medicine | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1528078540 | ROGER B TRAYCOFF M.D. Individual | Internal Medicine (Rheumatology) | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1548457104 | M L MEHRA MD LTD Organization | Specialist | 2901 OLD JACKSONVILLE RD SUITE B1 SPRINGFIELD, IL 62704 (217) 546-8862 |
| 1942481445 | JULIO C. VIJIL, SR., M.D. Organization | Surgery | 2901 OLD JACKSONVILLE RD SUITE B3 SPRINGFIELD, IL 62704 (217) 698-8850 |
| 1336496058 | DR. BENJAMIN WILLIAM BUTCHER D.P.T., A.T.C. Individual | Physical Therapist (Orthopedic) | 2901 OLD JACKSONVILLE RD SUITE C SPRINGFIELD, IL 62704 (217) 793-0000 |
| 1508954926 | VALERIE S THOMPSON M.D. Individual | Family Medicine | 2901 OLD JACKSONVILLE RD SUITE B4 SPRINGFIELD, IL 62704 (217) 241-3586 |
| 1942219324 | RALPH E GAUEN M.D. Individual | Internal Medicine | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-6722 |
| 1144269531 | INGRID I ALEXANDER MD Individual | Allergy & Immunology | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1275565988 | PHYSICIANS GROUP ASSOCIATES S C Organization | Internal Medicine | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1841216975 | PHYSICIANS GROUP ASSOCIATES S C Organization | Nurse Practitioner | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1407866270 | JAMES M LAFATA M.D. Individual | Internal Medicine | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1154331684 | ABDUR RAHMON NAWOOR M.D. Individual | Internal Medicine | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-6722 |
| 1447260344 | CELINA C TSANG M.D. Individual | Internal Medicine | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1982613345 | MARILEE KAE HARVEY CRAMER NP Individual | Nurse Practitioner | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1699728584 | MUKTESHWAR MEHRA MD Individual | Psychiatry & Neurology (Neurology) | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1083942502 | SUZANNE FLATLEY MORPHEW CFNP Individual | Nurse Practitioner | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1508245028 | CARLY ELLISON APN Individual | Nurse Practitioner (Primary Care) | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1598217978 | MRS. AMY J WELCH FNP-C Individual | Nurse Practitioner (Family) | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
| 1013395250 | GOPINATHAN GANGADHARAN NAMBIAR Individual | Pediatrics | 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 (217) 698-9722 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275543910, enumerated in the NPI registry as an "individual" on August 08, 2006
The provider is located at 2901 Old Jacksonville Rd Springfield, Il 62704 and the phone number is (217) 698-9722
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. 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 August 08, 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].
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