FOOT & ANKLE CENTER-FAIRVIEW HEIGHTS
NPI 1790795904
Podiatrist - Foot & Ankle Surgery in Fairview Heights, IL

NPI Status: Active since August 09, 2006

Contact Information

957 LINCOLN HWY
FAIRVIEW HEIGHTS, IL
ZIP 62208
Phone: (618) 632-4885
Fax: (618) 632-0350

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About FOOT & ANKLE CENTER-FAIRVIEW HEIGHTS

This page provides the complete NPI Profile along with additional information for Foot & Ankle Center-fairview Heights, a provider established in Fairview Heights, Illinois operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1790795904 assigned on August 2006. The practitioner's primary taxonomy code is 213ES0103X with license number 016005263 (IL). The provider is registered as an organization and their NPI record was last updated 17 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 Foot & Ankle Center-fairview Heights. The authorized official of this NPI record is Louis Aquino Dpm, Facfas (President)

NPI
1790795904
Provider Legal Name
FOOT & ANKLE CENTER, LLC
Other Organization Name
FOOT & ANKLE CENTER-FAIRVIEW HEIGHTS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
957 LINCOLN HWY FAIRVIEW HEIGHTS, IL 62208
Location Phone
(618) 632-4885
Location Fax
(618) 632-0350
Mailing Address
1299 REAVIS BARRACKS RD SAINT LOUIS, MO 63125
Mailing Phone
(314) 487-9300
Mailing Fax
(618) 632-0350
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-09-2006
Last Update Date
12-09-2008
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
016005263
License State
IL

Group Taxonomy 193400000X MULTIPLE 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

LOUIS AQUINO DPM, FACFAS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 487-9300

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
213138MEDICARE 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.
1790795904
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801491090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 9 + 1 + 0 + 9 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1790795904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790795904, enumerated in the NPI registry as an "organization" on August 09, 2006

The provider is located at 957 Lincoln Hwy Fairview Heights, Il 62208 and the phone number is (618) 632-4885

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

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 August 09, 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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