COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
NPI 1710261623
Orthopaedic Surgery in Sparta, IL
NPI Status: Active since October 11, 2011
Contact Information
818 E BROADWAY ST
1ST FLOOR
SPARTA, IL
ZIP 62286
Phone: (618) 443-2177
Fax: (618) 443-1324
- Organization
- Orthopaedic Surgery
About COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
This page provides the complete NPI Profile along with additional information for Community Orthopedics & Sports Medicine, Pc, a provider established in Sparta, Illinois operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1710261623 assigned on October 2011. The practitioner's primary taxonomy code is 207X00000X with license number 036109093 (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 authorized official of this NPI record is Ms. Tammy Adderley (Credentialing)
- NPI
- 1710261623
- Provider Name
- COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
- Entity Type
- Organization
- Location Address
- 818 E BROADWAY ST 1ST FLOOR SPARTA, IL 62286
- Location Phone
- (618) 443-2177
- Location Fax
- (618) 443-1324
- Mailing Address
- PO BOX 1449 MARYLAND HEIGHTS, MO 63043
- Mailing Phone
- (314) 432-2580
- Mailing Fax
- (618) 443-1324
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-11-2011
- Last Update Date
- 10-11-2011
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036109093
- 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.
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.
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 |
|---|---|---|---|
| IL5775 | MEDICARE PIN (08) | 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 | 7 | 1 | 0 | 2 | 6 | 1 | 6 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 4 | 6 | 2 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 4 + 6 + 2 + 6 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1710261623 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225218837 | HOSPITALMD OF SPARTA-IP, INC Organization | Hospitalist | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1841443793 | BARBARA J BROWN DIETICIAN Individual | Dietitian, Registered | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1194162370 | MIDWEST EMERGENCY SPARTA, INC Organization | Emergency Medicine | 818 E BROADWAY ST SPARTA, IL 62286 (817) 451-4208 |
| 1356862742 | REBECCA KOOPMAN ATC Individual | Specialist/Technologist (Athletic Trainer) | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1154626448 | SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS Organization | Clinic/Center | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1275822587 | ABBY MARIE WOODS APRN Individual | Nurse Practitioner (Family) | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-1337 |
| 1609097617 | HOSPITALMD OF SPARTA, INC Organization | Emergency Medicine (Emergency Medical Services) | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1679674857 | VONDA K WALKER CRNA Individual | Nurse Anesthetist, Certified Registered | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1073030789 | CARRIE ANN LUTMAN FNP-BC Individual | Nurse Practitioner (Family) | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1992422539 | DEACONESS ILLINOIS CLINIC, INC Organization | Family Medicine | 818 E BROADWAY ST SPARTA, IL 62286 (618) 939-4200 |
| 1073220349 | DEACONESS ILLINOIS SPECIALTY CLINIC, INC. Organization | Internal Medicine (Interventional Cardiology) | 818 E BROADWAY ST SPARTA, IL 62286 (618) 939-4200 |
| 1023669025 | OLIVIA NELL STRICKLEY RD Individual | Dietitian, Registered | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1548216476 | SPARTA COMMUNITY HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1801818240 | SPARTA COMMUNITY HOSPITAL Organization | Medicare Defined Swing Bed Unit | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
| 1679144315 | FEBIJESUSOLA DEBORAH OYELANA MD Individual | Family Medicine | 818 E BROADWAY ST SPARTA, IL 62286 (618) 443-2177 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710261623, enumerated in the NPI registry as an "organization" on October 11, 2011
The provider is located at 818 E Broadway St 1st Floor Sparta, Il 62286 and the phone number is (618) 443-2177
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X
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 October 11, 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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