OLIVE SURGICAL GROUP, LTD.
NPI 1275648438
Specialist in Saint Louis, MO

NPI Status: Active since August 20, 2006

Contact Information

11605 STUDT AVE
SUITE ONE
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 699-9818
Fax: (314) 699-9868

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  • Organization
  • Specialist

About OLIVE SURGICAL GROUP, LTD.

This page provides the complete NPI Profile along with additional information for Olive Surgical Group, Ltd., a provider established in Saint Louis, Missouri operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1275648438 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Olive Surgical Group, Ltd. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ellen Jane Humphries (Office Manager)

NPI
1275648438
Provider Name
OLIVE SURGICAL GROUP, LTD.
Entity Type
Organization
Location Address
11605 STUDT AVE SUITE ONE SAINT LOUIS, MO 63141
Location Phone
(314) 699-9818
Location Fax
(314) 699-9868
Mailing Address
11605 STUDT AVE SUITE ONE SAINT LOUIS, MO 63141
Mailing Phone
(314) 699-9818
Mailing Fax
(314) 699-9868
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2006
Last Update Date
12-18-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELLEN JANE HUMPHRIES

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(314) 699-9818

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
000014674MEDICARE ID-TYPE UNSPECIFIED (04)MOMEDICAL PRACTICE
5547670001MEDICARE NSC (07)MO 

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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.
1275648438
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451241646
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 4 + 1 + 6 + 4 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1275648438 is valid because the calculated check digit 8 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
1699918508MEDCURO MANUFACTURING, LLC
Organization
Prosthetic/Orthotic Supplier11605 STUDT AVE SUITE 110
SAINT LOUIS, MO 63141
(314) 567-8595
1598087652GARY J SCHMIDT MD LLC
Organization
Orthopaedic Surgery (Foot and Ankle Surgery)11605 STUDT AVE SUITE ONE
SAINT LOUIS, MO 63141
(314) 699-9818
1265420269DR. ROBERT J BERNARDI III MD
Individual
Neurological Surgery11605 STUDT AVE SUITE ONE
SAINT LOUIS, MO 63141
(314) 699-9818
1134215247ST LOUIS PAIN MANAGEMENT CENTER INC
Organization
Anesthesiology (Pain Medicine)11605 STUDT AVE SUITE 120
SAINT LOUIS, MO 63141
(314) 432-2580
1982010336 STEPHANIE DAWSON
Individual
Nurse Practitioner (Adult Health)11605 STUDT AVE
SAINT LOUIS, MO 63141
(314) 699-9818

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275648438, enumerated in the NPI registry as an "organization" on August 20, 2006

The provider is located at 11605 Studt Ave Suite One Saint Louis, Mo 63141 and the phone number is (314) 699-9818

This medical organization specializes in Specialist with taxonomy code 174400000X

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 August 20, 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.