SOUTHERN ILLINOIS SPORTS MEDICINE
NPI 1699061259
Specialist/Technologist - Athletic Trainer in Belleville, IL
NPI Status: Active since June 22, 2011
Contact Information
4550 MEMORIAL DR
MOC-1, SUITE G-100
BELLEVILLE, IL
ZIP 62226
Phone: (618) 236-2246
Fax: (618) 236-2315
- Organization
- Specialist/Technologist
- Athletic Trainer
About SOUTHERN ILLINOIS SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for Southern Illinois Sports Medicine, a provider established in Belleville, Illinois operating as a Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1699061259 assigned on June 2011. The practitioner's primary taxonomy code is 2255A2300X with license number 096002594 (IL). The provider is registered as an organization and their NPI record was last updated 14 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 Southern Illinois Sports Medicine. The authorized official of this NPI record is Jason Daniel Noeldner Atc,lat (Athletic Trainer)
- NPI
- 1699061259
- Provider Legal Name
- OA ASSOCIATED LLC
- Other Organization Name
- SOUTHERN ILLINOIS SPORTS MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4550 MEMORIAL DR MOC-1, SUITE G-100 BELLEVILLE, IL 62226
- Location Phone
- (618) 236-2246
- Location Fax
- (618) 236-2315
- Mailing Address
- 4550 MEMORIAL DR MOC-1, SUITE G-100 BELLEVILLE, IL 62226
- Mailing Phone
- (618) 236-2246
- Mailing Fax
- (618) 236-2315
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2011
- Last Update Date
- 06-22-2011
- 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
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 096002594
- License State
- IL
- Taxonomy Description
- Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
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.
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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 | 6 | 9 | 9 | 0 | 6 | 1 | 2 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 0 | 6 | 2 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 0 + 6 + 2 + 2 + 1 + 0 + 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 = 9 | 9 | ||||||||
The NPI number 1699061259 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437148723 | MARK A DEEMER ATH TR Individual | Specialist/Technologist (Athletic Trainer) | 4550 MEMORIAL DR SUITE G-100 BELLEVILLE, IL 62226 (618) 236-2246 |
| 1194770933 | DR. DWIGHT WILLIAM O'DELL M.D. Individual | Obstetrics & Gynecology (Gynecology) | 4550 MEMORIAL DR STE 200 BELLEVILLE, IL 62226 (618) 233-5998 |
| 1417060534 | IFATH G BASHIRUDDIN M.D. Individual | Internal Medicine (Nephrology) | 4550 MEMORIAL DR SUITE 360 BELLEVILLE, IL 62226 (618) 239-9500 |
| 1639271513 | DWIGHT O'DELL, M.D., LTD. Organization | Obstetrics & Gynecology (Gynecology) | 4550 MEMORIAL DR SUITE 200 BELLEVILLE, IL 62226 (618) 233-5998 |
| 1275618480 | BELLEVILLE ORTHOPEDICS, P.C. Organization | Specialist | 4550 MEMORIAL DR SUITE 460 BELLEVILLE, IL 62226 (618) 235-2900 |
| 1790818391 | TIFFANY ELIZABETH CLIFTON OTR L Individual | Occupational Therapist | 4550 MEMORIAL DR MEDICAL BUILDING #1 STE 470 BELLEVILLE, IL 62226 (618) 257-5249 |
| 1821287293 | IFATH G. BASHIRUDDIN M.D.S.C. Organization | Specialist | 4550 MEMORIAL DR SUITE 410 BELLEVILLE, IL 62226 (618) 234-8246 |
| 1417280710 | JANIS TAAKE RD, LD Individual | Dietitian, Registered | 4550 MEMORIAL DR MEDICAL OFFICE BUILDING ONE SUITE 360 BELLEVILLE, IL 62226 (618) 239-9500 |
| 1619292950 | BELLEVILLE ORTHOPEDIC SURGEONS LTD Organization | Specialist | 4550 MEMORIAL DR SUITE 460 BELLEVILLE, IL 62226 (618) 235-2900 |
| 1235474057 | MEMORIAL MEDICAL GROUP, LLC Organization | Internal Medicine | 4550 MEMORIAL DR STE. 340 BELLEVILLE, IL 62226 (618) 257-6302 |
| 1295049666 | MSA ALLIANCE, LLC Organization | Urology | 4550 MEMORIAL DR STE 350 BELLEVILLE, IL 62226 (618) 239-9690 |
| 1528372992 | MSA ALLIANCE, LLC Organization | Psychiatry & Neurology (Neurology) | 4550 MEMORIAL DR STE A-480 BELLEVILLE, IL 62226 (618) 222-1020 |
| 1689988057 | MSA ALLIANCE, LLC Organization | Urology | 4550 MEMORIAL DR STE 280 BELLEVILLE, IL 62226 (618) 277-3109 |
| 1699089060 | MSA ALLIANCE, LLC Organization | Internal Medicine (Nephrology) | 4550 MEMORIAL DR STE 410 BELLEVILLE, IL 62226 (618) 234-8246 |
| 1821302118 | PC ASSOCIATES, LLC Organization | Hospitalist | 4550 MEMORIAL DR SUITE 340 BELLEVILLE, IL 62226 (618) 257-6200 |
| 1386958668 | PC ASSOCIATES, LLC Organization | Family Medicine | 4550 MEMORIAL DR STE 180 BELLEVILLE, IL 62226 (618) 235-8282 |
| 1376857656 | CA GROUP, LLC Organization | Internal Medicine (Cardiovascular Disease) | 4550 MEMORIAL DR STE 310 BELLEVILLE, IL 62226 (618) 257-6112 |
| 1649584921 | CA GROUP LLC Organization | Internal Medicine (Cardiovascular Disease) | 4550 MEMORIAL DR SUITE 320 BELLEVILLE, IL 62226 (618) 233-0833 |
| 1508026303 | DR. ERUM AHAD SHAIKH M.D. Individual | Internal Medicine | 4550 MEMORIAL DR STE. 340 BELLEVILLE, IL 62226 (618) 257-6200 |
| 1629381256 | DR. PAYTON K. MCGOWEN M.D. Individual | Hospitalist | 4550 MEMORIAL DR STE. 340 BELLEVILLE, IL 62226 (618) 257-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699061259, enumerated in the NPI registry as an "organization" on June 22, 2011
The provider is located at 4550 Memorial Dr Moc-1, Suite G-100 Belleville, Il 62226 and the phone number is (618) 236-2246
This medical organization specializes in Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer
This NPI record was last updated on June 22, 2011. 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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