KING CITY SURGERY CENTER, S.C.
NPI 1003005463
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mount Vernon, IL

NPI Status: Active since October 22, 2007

Contact Information

2605 MAIN ST
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 244-0050
Fax: (618) 244-0061

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About KING CITY SURGERY CENTER, S.C.

This page provides the complete NPI Profile along with additional information for King City Surgery Center, S.c., a provider established in Mount Vernon, Illinois operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1003005463 assigned on October 2007. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. King City Surgery Center, S.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Anton Schittek M.d.,f.a.c.s. (Physician/president)

NPI
1003005463
Provider Name
KING CITY SURGERY CENTER, S.C.
Entity Type
Organization
Location Address
2605 MAIN ST MOUNT VERNON, IL 62864
Location Phone
(618) 244-0050
Location Fax
(618) 244-0061
Mailing Address
2605 MAIN ST MOUNT VERNON, IL 62864
Mailing Phone
(618) 244-0050
Mailing Fax
(618) 244-0061
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2007
Last Update Date
10-22-2007
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

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)
1208600000XAllopathic & Osteopathic Physicians

Surgery

(IL)

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.

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

DR. ANTON SCHITTEK M.D.,F.A.C.S.

Authorized Official Title
PHYSICIAN/PRESIDENT
Authorized Official Phone
(618) 244-0050

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
A88218MEDICARE UPIN (02)IL 
207132MEDICARE PIN (08)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003005463, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 37. The final step is to find the difference between that total and the next multiple of ten (40 - 37 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 0 + 1 + 0 + 4 + 1 + 2 + 24 = 37

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 37 is 40. The difference is the calculated check digit.

40 - 37 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1003005463.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
2605 MAIN ST
MOUNT VERNON, IL 62864
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2605 MAIN ST
MOUNT VERNON, IL 62864
Psychiatry & Neurology (Neurology)
2605 MAIN ST
MOUNT VERNON, IL 62864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003005463, enumerated as an "organization" on October 22, 2007.

The provider is located at 2605 MAIN ST MOUNT VERNON, IL 62864 and the phone number is (618) 244-0050.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.