SOUTHERN ORTHOPEDIC ASSOCIATES SC
NPI 1396792412
Orthopaedic Surgery in Herrin, IL
NPI Status: Active since May 27, 2006
- Organization
- Orthopaedic Surgery
- Accepts Insurance
About SOUTHERN ORTHOPEDIC ASSOCIATES SC
This page provides the complete NPI Profile along with additional information for Southern Orthopedic Associates Sc, a provider established in Herrin, Illinois operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1396792412 assigned on May 2006. The practitioner's primary taxonomy code is 207X00000X with license number 042617215 (IL). The provider is registered as an organization and their NPI record was last updated 3 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. John Davis Md (President Orthopedic Surgeon)
- NPI
- 1396792412
- Provider Name
- SOUTHERN ORTHOPEDIC ASSOCIATES SC
- Entity Type
- Organization
- Location Address
- 510 LINCOLN DR HERRIN, IL 62948
- Location Phone
- (618) 997-6800
- Mailing Address
- 510 LINCOLN DRIVE HERRIN, IL 62948
- Mailing Phone
- (618) 997-6800
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2006
- Last Update Date
- 10-04-2022
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 042617215
- License State
- IL
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 3 | 261QP1100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 042617215 (KY) |
| 5 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (KY) |
Group Taxonomy 193400000X MULTIPLE 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:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
- Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for SOUTHERN ORTHOPEDIC ASSOCIATES 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 | 3 | 9 | 6 | 7 | 9 | 2 | 4 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 14 | 9 | 4 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 4 + 9 + 4 + 4 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1396792412 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1245229111 | GRETCHEN B MASON PA-C Individual | Physician Assistant | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1295724110 | JOAN K. SCHULLIAN CRNA Individual | Nurse Anesthetist, Certified Registered | 510 LINCOLN DR HERRIN, IL 62948 (618) 457-5111 |
| 1598870115 | DR. TREG D BROWN MD Individual | Orthopaedic Surgery | 510 LINCOLN DR SOUTHERN ORTHOPEDIC ASSOCIATES SC HERRIN, IL 62948 (618) 997-6800 |
| 1568578680 | MRS. KIMBERLY ANNE PETERS OT Individual | Occupational Therapist | 510 LINCOLN DR SOUTHERN ORTHOPEDIC ASSOCIATES SC HERRIN, IL 62948 (618) 997-6800 |
| 1295842870 | DR. THOMAS WEST DAVIS MD Individual | Orthopaedic Surgery | 510 LINCOLN DR SOUTHERN ORTHOPEDIC ASSOCIATES SC HERRIN, IL 62948 (618) 997-6800 |
| 1720252489 | MRS. KELLI HENDERSON RN Individual | Registered Nurse (Orthopedic) | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-3100 |
| 1437301009 | DANE MERRILL ELLIOTT PHYSICAL THERAPIST Individual | Physical Therapist (Orthopedic) | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1336555051 | SHANNON WALDON CST Individual | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 | |
| 1952418089 | DR. STEPHEN H JACKSON MD Individual | Orthopaedic Surgery | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1154659894 | MR. HOLLIS JOHNSON CLARK JR. P.A.-C. Individual | Physician Assistant | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1235412982 | MRS. KELLY JACKSON JOHNSON PA-C Individual | Physician Assistant | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1437577434 | MICHELE CHEATHAM Individual | Physical Therapist | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1689235715 | MICHELLE STEH APRN Individual | Nurse Practitioner | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1508402652 | JOSHUA SHELDON PTA Individual | Physical Therapy Assistant | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1801432968 | SYDNEY ALLEN PTA Individual | Physical Therapy Assistant | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1487290532 | MICHELLE REED OTA Individual | Occupational Therapy Assistant | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1679119572 | MARCIA SKINNER PTA Individual | Physical Therapy Assistant | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1790321602 | BRADEN REEVES PTA Individual | Physical Therapy Assistant | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1245822923 | TRAVIS C CHAPMAN PT Individual | Physical Therapist | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-6800 |
| 1528354602 | DR. AMANDA LAINE BRAZIS DPM Individual | Podiatrist (Foot & Ankle Surgery) | 510 LINCOLN DR HERRIN, IL 62948 (618) 997-3100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396792412, enumerated in the NPI registry as an "organization" on May 27, 2006
The provider is located at 510 Lincoln Dr Herrin, Il 62948 and the phone number is (618) 997-6800
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Aetna CVS Health and Anthem Blue Cross 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 May 27, 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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