MCDONOUGH MEDICAL GROUP
NPI 1396055869
Pathology - Anatomic Pathology & Clinical Pathology in Macomb, IL

NPI Status: Active since October 18, 2010

Contact Information

525 E GRANT STREET
MACOMB, IL
ZIP 61455
Phone: (309) 833-4101
Fax: (309) 836-1534

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology

About MCDONOUGH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Mcdonough Medical Group, a provider established in Macomb, Illinois operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1396055869 assigned on October 2010. The practitioner's primary taxonomy code is 207ZP0102X with license number 0001438 (IL). The provider is registered as an organization and their NPI record was last updated 15 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 provider's is doing business as Mcdonough Medical Group. The authorized official of this NPI record is Stephen R Hopper (Ceo)

NPI
1396055869
Provider Legal Name
MCDONOUGH COUNTY HOSPITAL DISTRICT
Other Organization Name
MCDONOUGH MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
525 E GRANT STREET MACOMB, IL 61455
Location Phone
(309) 833-4101
Location Fax
(309) 836-1534
Mailing Address
525 E GRANT STREET MACOMB, IL 61455
Mailing Phone
(309) 833-4101
Mailing Fax
(309) 836-1534
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2010
Last Update Date
10-18-2010
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
0001438
License State
IL
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.

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

STEPHEN R HOPPER

Authorized Official Title
CEO
Authorized Official Phone
(309) 833-4101

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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.
1396055869
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231860510812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 5 + 1 + 0 + 8 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1396055869 is valid because the calculated check digit 9 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
1376866996 HEIDI LEE ELBE
Individual
Speech-Language Pathologist525 E GRANT STREET
MACOMB, IL 61455
(309) 833-4101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396055869, enumerated in the NPI registry as an "organization" on October 18, 2010

The provider is located at 525 E Grant Street Macomb, Il 61455 and the phone number is (309) 833-4101

This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

This NPI record was last updated on October 18, 2010. 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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