ALTON UROLOGICAL ASSOCIATES
NPI 1689717621
Urology in Alton, IL

NPI Status: Active since February 15, 2007

Contact Information

2 MEMORIAL DR
SUITE 101
ALTON, IL
ZIP 62002
Phone: (618) 462-0720

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  • Organization
  • Urology

About ALTON UROLOGICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Alton Urological Associates, a provider established in Alton, Illinois operating as a Urology. The healthcare provider is registered in the NPI registry with number 1689717621 assigned on February 2007. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 18 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 Alton Urological Associates. The authorized official of this NPI record is Raymond P Davidson Ii Md (President)

NPI
1689717621
Provider Legal Name
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Other Organization Name
ALTON UROLOGICAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2 MEMORIAL DR SUITE 101 ALTON, IL 62002
Location Phone
(618) 462-0720
Mailing Address
670 MASON RIDGE CENTER DR SUITE 300 SAINT LOUIS, MO 63141
Mailing Phone
(314) 996-7644
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2007
Last Update Date
01-07-2008
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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:

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

RAYMOND P DAVIDSON II MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 286-2028

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
413610MEDICARE 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.
1689717621
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691411464
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 1 + 1 + 4 + 6 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1689717621 is valid because the calculated check digit 1 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
1922094002DR. MARK M ALLENDORPH M.D.
Individual
Internal Medicine (Gastroenterology)2 MEMORIAL DR SUITE 205
ALTON, IL 62002
(618) 465-5849
1396723458THORACIC CONSULTANTS OF SOUTHERN ILLINOIS, PC
Organization
Specialist2 MEMORIAL DR SUITE 204
ALTON, IL 62002
(618) 462-9660
1356377568SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2 MEMORIAL DR SUITE 122
ALTON, IL 62002
(618) 465-2550
1467469007ILLINOIS INSTITUTE OF NEUROLOGY LTD
Organization
Psychiatry & Neurology (Neurology)2 MEMORIAL DR SUITE 201
ALTON, IL 62002
(314) 355-3355
1477660579 NOOR AHMED M.D.
Individual
Plastic Surgery2 MEMORIAL DR SUITE 104
ALTON, IL 62002
(618) 465-6401
1972699932DR. CHARLES D. HERZON MD
Individual
Obstetrics & Gynecology2 MEMORIAL DR SUITE 122
ALTON, IL 62002
(618) 465-2550
1982760930FAIRVIEW HEIGHTS MEDICAL GROUP SC
Organization
Clinic/Center (Primary Care)2 MEMORIAL DR SUITE 220
ALTON, IL 62002
(618) 474-1723
1780740936FAIRVIEW HEIGHTS MEDICAL GROUP SC
Organization
Clinic/Center (Medical Specialty)2 MEMORIAL DR SUITE 105
ALTON, IL 62002
(618) 462-3191
1942350202DR. JAMES WATSON STUBBS JR. MD
Individual
Obstetrics & Gynecology2 MEMORIAL DR 122
ALTON, IL 62002
(618) 465-2550
1164553483FAIRVIEW HEIGHTS MEDICAL GROUP SC
Organization
Internal Medicine2 MEMORIAL DR SUITE 220
ALTON, IL 62002
(618) 462-3191
1609907880FAIRVIEW HEIGHTS MEDICAL GROUP SC
Organization
Surgery2 MEMORIAL DR SUITE 105
ALTON, IL 62002
(618) 462-3191
1285815126STEIN UROLOGY, S C
Organization
Urology2 MEMORIAL DR SUITE 101
ALTON, IL 62002
(618) 462-0710
1841477197NOOR AHMED, M.D., P.C.
Organization
Specialist2 MEMORIAL DR SUITE 104
ALTON, IL 62002
(618) 465-6401
1437323201WANG CARDIOLOGY LTD
Organization
Clinic/Center (Primary Care)2 MEMORIAL DR
ALTON, IL 62002
(618) 259-5096
1649336116MRS. MARYANN H. PASS CNP
Individual
Nurse Practitioner (Women's Health)2 MEMORIAL DR SUITE 122
ALTON, IL 62002
(618) 465-2550
1477882454MRS. CHRISTINE MEREDITH HARLAN FNP-BC
Individual
Nurse Practitioner (Family)2 MEMORIAL DR SUITE 220
ALTON, IL 62002
(618) 474-1723
1568479939DR. CHRISTOPHER R GREEN M.D.
Individual
Internal Medicine2 MEMORIAL DR SUITE 220
ALTON, IL 62002
(618) 474-1723
1518337815GASTROENTEROLOGY MEDICAL CONSULTANTS, P.C.
Organization
Specialist2 MEMORIAL DR SUITE 202
ALTON, IL 62002
(618) 462-2359
1093258154MSA ALLIANCE, LLC
Organization
Surgery (Vascular Surgery)2 MEMORIAL DR SUITE 201
ALTON, IL 62002
(618) 222-1020
1558402362DR GREG GABLIANI LTD
Organization
Internal Medicine (Cardiovascular Disease)2 MEMORIAL DR SUITE 209
ALTON, IL 62002
(618) 462-3893

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689717621, enumerated in the NPI registry as an "organization" on February 15, 2007

The provider is located at 2 Memorial Dr Suite 101 Alton, Il 62002 and the phone number is (618) 462-0720

This medical organization specializes in Urology with taxonomy code 208800000X

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 February 15, 2007. 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.