MICHAEL GORDON
NPI 1275981805
Community Health Worker in Freeport, IL
NPI Status: Active since May 24, 2016
Contact Information
659 E JEFFERSON ST
FREEPORT, IL
ZIP 61032
Phone: (815) 229-1999
Fax: (708) 478-6387
- Individual
- Male
- Community Health Worker
About MICHAEL GORDON
This page provides the complete NPI Profile along with additional information for Michael Gordon, a provider established in Freeport, Illinois with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1275981805 assigned on May 2016. The practitioner's primary taxonomy code is 172V00000X with license number ADS1101002 (IL). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1275981805
- Provider Name
- MICHAEL GORDON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 659 E JEFFERSON ST FREEPORT, IL 61032
- Location Phone
- (815) 229-1999
- Location Fax
- (708) 478-6387
- Mailing Address
- 659 E JEFFERSON ST FREEPORT, IL 61032
- Mailing Phone
- (815) 229-1999
- Mailing Fax
- (708) 478-6387
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2016
- Last Update Date
- 05-24-2016
- 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
Community Health Worker
- Taxonomy Code
- 172V00000X
- Type
- Other Service Providers
- License No.
- ADS1101002
- License State
- IL
- Taxonomy Description
- Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
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 |
|---|---|---|---|
| ADS1101002 | OTHER (01) | IL | ILLINOIS DEPARTENT OF AGING |
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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 | 9 | 8 | 1 | 8 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 18 | 8 | 2 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 8 + 8 + 2 + 8 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1275981805 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710641105 | MARCIA DUBACH Individual | Occupational Therapist | 659 E JEFFERSON ST FREEPORT, IL 61032 (815) 266-8020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275981805, enumerated in the NPI registry as an "individual" on May 24, 2016
The provider is located at 659 E Jefferson St Freeport, Il 61032 and the phone number is (815) 229-1999
The provider's speciality is Community Health Worker with taxonomy code 172V00000X
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 May 24, 2016. 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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