PROACTIVE MD IL SC
NPI 1881488773
Clinic/Center - Primary Care in O Fallon, IL
NPI Status: Active since April 07, 2025
Contact Information
1472 N GREEN MOUNT RD
O FALLON, IL
ZIP 62269
Phone: (730) 240-8040
- Organization
- Clinic/Center
- Primary Care
About PROACTIVE MD IL SC
This page provides the complete NPI Profile along with additional information for Proactive Md Il Sc, a primary care provider established in O Fallon, Illinois operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1881488773 assigned on April 2025. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated April 2025. The authorized official of this NPI record is Mark Kemble Md (Cmo)
- NPI
- 1881488773
- Provider Name
- PROACTIVE MD IL SC
- Entity Type
- Organization
- Location Address
- 1472 N GREEN MOUNT RD O FALLON, IL 62269
- Location Phone
- (730) 240-8040
- Mailing Address
- 124 ALLAWOOD CT SIMPSONVILLE, SC 29681
- Mailing Phone
- (864) 501-0751
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2025
- Last Update Date
- 04-07-2025
A primary care provider (PCP) like Proactive Md Il Sc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
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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 | 8 | 8 | 1 | 4 | 8 | 8 | 7 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 8 | 8 | 16 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 8 + 8 + 1 + 6 + 7 + 1 + 4 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1881488773 is valid because the calculated check digit 3 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 1881488773, enumerated in the NPI registry as an "organization" on April 07, 2025
The provider is located at 1472 N Green Mount Rd O Fallon, Il 62269 and the phone number is (730) 240-8040
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
This NPI record was last updated on April 07, 2025. 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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