PEORIA TAZEWELL PATHOLOGY GROUP, S.C.
NPI 1578597738
Pathology - Anatomic Pathology & Clinical Pathology in Peoria, IL
NPI Status: Active since July 11, 2006
Contact Information
221 NE GLEN OAK AVE
PEORIA, IL
ZIP 61603
Phone: (309) 672-4911
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
About PEORIA TAZEWELL PATHOLOGY GROUP, S.C.
This page provides the complete NPI Profile along with additional information for Peoria Tazewell Pathology Group, S.c., a provider established in Peoria, Illinois operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1578597738 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 13 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 Ronald Champagne M.d. (President)
- NPI
- 1578597738
- Provider Name
- PEORIA TAZEWELL PATHOLOGY GROUP, S.C.
- Entity Type
- Organization
- Location Address
- 221 NE GLEN OAK AVE PEORIA, IL 61603
- Location Phone
- (309) 672-4911
- Mailing Address
- PO BOX 60070 N CHARLESTON, SC 29419
- Mailing Phone
- (866) 759-4528
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-11-2006
- Last Update Date
- 08-13-2012
- 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
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Inspire by Medica Bronze $0 Copay PCP Visits - EPO
- Inspire by Medica Bronze Share - EPO
- Inspire by Medica Expanded Bronze Standard - EPO
- Inspire by Medica Gold $0 Copay PCP Visits - EPO
- Inspire by Medica Gold Share - EPO
- Inspire by Medica Gold Standard - EPO
- Inspire by Medica Silver $0 Copay PCP Visits - EPO
- Inspire by Medica Silver Share - EPO
- Inspire by Medica Silver Standard - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
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 |
|---|---|---|---|
| CL6682 | OTHER (01) | IL | RAILROAD MEDICARE |
| 621290 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 621294 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 621292 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 07215062 | OTHER (01) | IL | BLUE CROSS BLUE SHIELD |
| 621293 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
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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 | 5 | 7 | 8 | 5 | 9 | 7 | 7 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 9 | 14 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 9 + 1 + 4 + 7 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1578597738 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 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376505420 | MARIO MIRANDA DO Individual | Emergency Medicine | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5522 |
| 1679535728 | MICHAEL KOEPPEN MD Individual | Family Medicine | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5522 |
| 1114989027 | TONYA VINING MD Individual | Emergency Medicine | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5522 |
| 1477515393 | COMPREHENSIVE EMERGENCY SOLUTIONS SC Organization | Emergency Medicine | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5522 |
| 1689637217 | ELSBURGH CLARKE JR. MD Individual | Emergency Medicine | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5522 |
| 1386607927 | ANN JENKINS MD Individual | Emergency Medicine | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 372-5522 |
| 1528021987 | MATTHEW MCMILLIN MD Individual | Family Medicine | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5522 |
| 1295898591 | DAWN CLARISSE TANNER PA-C Individual | Physician Assistant | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5522 |
| 1780819037 | JULIA ANNE ADAMS Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-4919 |
| 1447222146 | ANDREW T HARRIS M.D. Individual | Emergency Medicine | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5522 |
| 1659573020 | IGOR BEGOVIC MD Individual | Anesthesiology | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5522 |
| 1508845603 | HOREA BAILA MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 221 NE GLEN OAK AVE PEORIA, IL 61603 (309) 672-5790 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578597738, enumerated in the NPI registry as an "organization" on July 11, 2006
The provider is located at 221 Ne Glen Oak Ave Peoria, Il 61603 and the phone number is (309) 672-4911
This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider might be accepting Accepts: Medica, Railroad Medicare, Medicare, Medicaid and. 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 July 11, 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.