SURGICAL ASSOCIATES OF MT VERNON, LTD
NPI 1790827491
Surgery in Mount Vernon, IL
NPI Status: Active since February 12, 2007
Contact Information
2 GOOD SAMARITAN WAY
SUITE 235
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 899-3980
Fax: (618) 899-4793
- Organization
- Surgery
About SURGICAL ASSOCIATES OF MT VERNON, LTD
This page provides the complete NPI Profile along with additional information for Surgical Associates Of Mt Vernon, Ltd, a provider established in Mount Vernon, Illinois operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1790827491 assigned on February 2007. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Surgical Associates Of Mt Vernon, Ltd operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Annette Shores M.d. (Physician/owner)
- NPI
- 1790827491
- Provider Name
- SURGICAL ASSOCIATES OF MT VERNON, LTD
- Entity Type
- Organization
- Location Address
- 2 GOOD SAMARITAN WAY SUITE 235 MOUNT VERNON, IL 62864
- Location Phone
- (618) 899-3980
- Location Fax
- (618) 899-4793
- Mailing Address
- 2 GOOD SAMARITAN WAY SUITE 235 MOUNT VERNON, IL 62864
- Mailing Phone
- (618) 899-3980
- Mailing Fax
- (618) 899-4793
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2007
- Last Update Date
- 01-24-2014
- Code Navigator
A surgeon like Surgical Associates Of Mt Vernon, Ltd treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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 |
|---|---|---|---|
| 629601 | 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 | 9 | 0 | 8 | 2 | 7 | 4 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 2 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 2 + 1 + 4 + 4 + 1 + 8 + 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 = 1 | 1 | ||||||||
The NPI number 1790827491 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 |
|---|---|---|---|
| 1134147432 | DANIEL HOFFMAN MD Individual | Internal Medicine | 2 GOOD SAMARITAN WAY SUITE 420 MOUNT VERNON, IL 62864 (618) 899-4000 |
| 1356485288 | SARAH ANDERSON P.T. Individual | Physical Therapist | 2 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864 (618) 436-8640 |
| 1316282163 | GOOD SAMARITAN REGIONAL HEALTH CENTER Organization | Pharmacy (Community/Retail Pharmacy) | 2 GOOD SAMARITAN WAY SUITE 120 MOUNT VERNON, IL 62864 (618) 899-4999 |
| 1154353720 | MR. STEVEN J CLARK MD Individual | Surgery (Plastic and Reconstructive Surgery) | 2 GOOD SAMARITAN WAY SUITE 235 MOUNT VERNON, IL 62864 (618) 899-3980 |
| 1912903857 | ANNETTE V SHORES M.D. Individual | Surgery | 2 GOOD SAMARITAN WAY SUITE 235 MOUNT VERNON, IL 62864 (618) 899-3980 |
| 1063516136 | JONATHAN L SORENSON CRNA Individual | Nurse Anesthetist, Certified Registered | 2 GOOD SAMARITAN WAY SUITE 205 MOUNT VERNON, IL 62864 (618) 241-1108 |
| 1548685647 | MRS. REBECCA BREANNE RITCHEY M.S. CCC-SLP Individual | Speech-Language Pathologist | 2 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864 (618) 436-5258 |
| 1871919845 | MICHELL R ELLIS PHARMD Individual | Pharmacist | 2 GOOD SAMARITAN WAY SUITE 120 MOUNT VERNON, IL 62864 (618) 899-4999 |
| 1194008821 | MRS. DEBBIE JANE BENDERSKY RPH Individual | Pharmacist | 2 GOOD SAMARITAN WAY SUITE 120 MOUNT VERNON, IL 62864 (618) 899-4999 |
| 1992188338 | CARL ROBERT DAVIS CRNA Individual | Nurse Anesthetist, Certified Registered | 2 GOOD SAMARITAN WAY SUITE 205 MOUNT VERNON, IL 62864 (618) 241-1108 |
| 1144541772 | DR. PRATEEK SRINET M.D. Individual | Otolaryngology | 2 GOOD SAMARITAN WAY SUITE 420 MOUNT VERNON, IL 62864 (618) 899-4000 |
| 1740654821 | KATHRYN FLANIGAN SLP Individual | Speech-Language Pathologist | 2 GOOD SAMARITAN WAY 3RD FLOOR MOUNT VERNON, IL 62864 (618) 899-2421 |
| 1831611334 | PATRICIA ISABEL CALCETTO CRNA Individual | Nurse Anesthetist, Certified Registered | 2 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864 (618) 899-3869 |
| 1245711779 | MARY K MCGARVEY COTA Individual | Occupational Therapy Assistant | 2 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864 (618) 899-2400 |
| 1447216239 | FERDINAND VALENCIA APOSTOL M.D. Individual | Internal Medicine | 2 GOOD SAMARITAN WAY SUITE 420 MOUNT VERNON, IL 62864 (618) 899-4000 |
| 1275954778 | KARLA WEBB APN Individual | Nurse Practitioner (Adult Health) | 2 GOOD SAMARITAN WAY SUITE 220 MOUNT VERNON, IL 62864 (618) 899-3900 |
| 1871867465 | JASON A DAVISON NP-C Individual | Nurse Practitioner (Adult Health) | 2 GOOD SAMARITAN WAY SUITE 220 MOUNT VERNON, IL 62864 (618) 899-3900 |
| 1275900656 | CHRISTOPHER BOURGET Individual | Nurse Anesthetist, Certified Registered | 2 GOOD SAMARITAN WAY MEDICAL PLAZA SUITE 205 MOUNT VERNON, IL 62864 (618) 241-1108 |
| 1851354690 | DR. FAISAL RASHID M.D. Individual | Internal Medicine (Nephrology) | 2 GOOD SAMARITAN WAY SUITE 420 MOUNT VERNON, IL 62864 (618) 899-4000 |
| 1346356524 | MS. CATHY DIANE LISENBY PA-C Individual | Physician Assistant | 2 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864 (618) 899-4000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790827491, enumerated in the NPI registry as an "organization" on February 12, 2007
The provider is located at 2 Good Samaritan Way Suite 235 Mount Vernon, Il 62864 and the phone number is (618) 899-3980
This medical organization specializes in Surgery with taxonomy code 208600000X
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 12, 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].
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