VASCULAR LABORATORY SERVICES
NPI 1699783886
Surgery - Vascular Surgery in Peoria, IL
NPI Status: Active since August 03, 2006
Contact Information
5409 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
Phone: (877) 852-4669
- Organization
- Surgery
- Vascular Surgery
About VASCULAR LABORATORY SERVICES
This page provides the complete NPI Profile along with additional information for Vascular Laboratory Services, a provider established in Peoria, Illinois operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1699783886 assigned on August 2006. The practitioner's primary taxonomy code is 2086S0129X. 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 other name is Vascular Laboratory Services. The authorized official of this NPI record is James Debord M.d. (President)
- NPI
- 1699783886
- Provider Legal Name
- JAMES R DEBORD
- Other Organization Name
- VASCULAR LABORATORY SERVICES
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 5409 N KNOXVILLE AVE PEORIA, IL 61614
- Location Phone
- (877) 852-4669
- Mailing Address
- PO BOX 10140 PEORIA, IL 61612
- Mailing Phone
- (877) 852-4669
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-03-2006
- Last Update Date
- 06-01-2011
- 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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.
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 |
|---|---|---|---|
| 330001311 | OTHER (01) | IL | RAILROAD MEDICARE |
| 07200604 | OTHER (01) | IL | BLUE CROSS BLUE SHIELD |
| 791280 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 0360520633 | MEDICAID (05) | 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 | 6 | 9 | 9 | 7 | 8 | 3 | 8 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 14 | 8 | 6 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 4 + 8 + 6 + 8 + 1 + 6 + 24 = 84 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 84 = 6 | 6 | ||||||||
The NPI number 1699783886 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1760454896 | PAMELA RUTH SHUCK-HOEHNE LCPC Individual | Counselor (Professional) | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 689-6008 |
| 1710954953 | DR. LEONE LEGAN PSYD Individual | Psychologist (Clinical) | 5409 N KNOXVILLE AVE PSYCHOLOGICAL ASSOCIATES PEORIA, IL 61614 (309) 691-0420 |
| 1205874427 | ALLAN C CAMPBELL M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1060 |
| 1780913509 | JENNIFER A LEACH PTA Individual | Physical Therapy Assistant | 5409 N KNOXVILLE AVE STE 400 PEORIA, IL 61614 (309) 692-6644 |
| 1184920084 | MRS. KELLY ANN JASZAROWSKI RN, CWOCN Individual | Clinical Nurse Specialist | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 683-6205 |
| 1598719429 | ELIZABETH ALENGHAT M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 683-6150 |
| 1578501896 | DOUGLAS J MCGRADY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 683-6151 |
| 1356567044 | ADAM M QUINN D.O. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 683-6152 |
| 1093141756 | MONICA EVERETT PA-C Individual | Physician Assistant | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1069 |
| 1174950653 | BRITTANY M KENNEDY SLP Individual | Speech-Language Pathologist | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1040 |
| 1841277126 | DR. UTE PROHASKA M.D. Individual | Emergency Medicine | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1069 |
| 1033116876 | PROCTOR COMMUNITY HOSPITAL Organization | General Acute Care Hospital | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1000 |
| 1821068404 | PROCTOR COMMUNITY HOSPITAL Organization | Skilled Nursing Facility | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1000 |
| 1134475940 | PROCTOR COMMUNITY HOSPITAL Organization | Psychiatric Unit | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1000 |
| 1063806412 | MRS. NICOLE LOVIN APN-CNP Individual | Nurse Practitioner (Family) | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1000 |
| 1952378192 | PSYCHOLOGICAL ASSOCIATES PROFESSIONALS LLC Organization | Psychologist (Clinical) | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-0420 |
| 1114345584 | DAVID TENNANT Individual | Family Medicine | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1000 |
| 1841757077 | ABBY MARIE TAUBE OTR/L Individual | Occupational Therapist | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1000 |
| 1487624318 | PROCTOR COMMUNITY HOSPITAL Organization | Home Health | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1000 |
| 1548804925 | SUSAN CARRASCO Individual | Speech-Language Pathologist | 5409 N KNOXVILLE AVE PEORIA, IL 61614 (309) 691-1040 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699783886, enumerated in the NPI registry as an "organization" on August 03, 2006
The provider is located at 5409 N Knoxville Ave Peoria, Il 61614 and the phone number is (877) 852-4669
This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid 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 August 03, 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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