KING CITY SURGERY CENTER, S.C. NPI 1003005463
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mount Vernon, IL
About KING CITY SURGERY CENTER, S.C.
King City Surgery Center, S.c. is 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 16 years ago. King City Surgery Center, S.c. 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 Dr. Anton Schittek M.d.,f.a.c.s. (Physician/president)
| NPI | 1003005463 |
| Provider Name | KING CITY SURGERY CENTER, S.C. |
| Location Address | 2605 MAIN ST MOUNT VERNON, IL 62864 |
| Location Phone | (618) 244-0050 |
| Mailing Address | 2605 MAIN ST MOUNT VERNON, IL 62864 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 10-22-2007 |
| Last Update Date | 10-22-2007 |
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.
| Taxonomy Code | 208G00000X |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
2605 MAIN ST
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 244-0050
Fax: (618) 244-0061
Mailing Address
2605 MAIN ST
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 244-0050
Fax: (618) 244-0061
Location Map
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.
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 | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | IL | No | ||
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. | |||||||
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 |
|---|---|---|
| A88218 | MEDICARE UPIN (02) | IL |
| 207132 | MEDICARE PIN (08) | IL |
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 | 0 | 0 | 3 | 0 | 0 | 5 | 4 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 10 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 1 + 0 + 4 + 1 + 2 + 24 = 37 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 37 = 3 | 3 | ||||||||
The NPI number 1003005463 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487645776 | TOMASZ A KOSIERKIEWICZ X MD Individual | Psychiatry & Neurology (Neurology) | 2605 MAIN ST MOUNT VERNON, IL 62864 (618) 242-7350 |
| 1053418780 | DR. ANTON SCHITTEK M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2605 MAIN ST MOUNT VERNON, IL 62864 (618) 244-0050 |
| 1720079015 | MT VERNON NEUROLOGY, S.C. Organization | Psychiatry & Neurology (Neurology) | 2605 MAIN ST MOUNT VERNON, IL 62864 (618) 242-7350 |
Frequently Asked Questions
What is KING CITY SURGERY CENTER, S.C. NPI number?
The NPI number assigned to this healthcare provider is 1003005463, enumerated in the NPI registry as an "organization" on October 22, 2007
Where is the provider located?
The provider is located at 2605 Main St Mount Vernon, Il 62864 and the phone number is (618) 244-0050
What is the provider specialty code?
This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X
What insurance does KING CITY SURGERY CENTER, S.C. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
How do I update my NPI information?
This NPI record was last updated on October 22, 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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