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 NPI number of King City Surgery Center, S.c. is 1003005463 and was 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 15 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 NameKING CITY SURGERY CENTER, S.C.
Location Address2605 MAIN ST MOUNT VERNON, IL 62864
Location Phone(618) 244-0050
Mailing Address2605 MAIN ST MOUNT VERNON, IL 62864
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-22-2007
Last Update Date10-22-2007


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and 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 Code208G00000X
ClassificationThoracic Surgery (Cardiothoracic Vascular Surgery)
TypeAllopathic & Osteopathic Physicians
License StateIL
Taxonomy DescriptionA 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

KING CITY SURGERY CENTER, S.C.
2605 MAIN ST
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 244-0050
Fax: (618) 244-0061

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Mailing Address

KING CITY SURGERY CENTER, S.C.
2605 MAIN ST
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 244-0050
Fax: (618) 244-0061


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameDR. ANTON SCHITTEK M.D.,F.A.C.S.
Authorized Official TitlePHYSICIAN/PRESIDENT
Authorized Official Phone(618) 244-0050

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 secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208600000XAllopathic & Osteopathic PhysiciansSurgeryILNo

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


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
A88218MEDICARE UPIN (02)IL
207132MEDICARE 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.
1003005463
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030010412
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 = 33

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
1053418780DR. ANTON SCHITTEK M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)2605 MAIN ST
MOUNT VERNON, IL 62864
(618) 244-0050
1720079015MT 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 KING CITY SURGERY CENTER, S.C. is 1003005463, registered as an "organization" on October 22, 2007

Where is KING CITY SURGERY CENTER, S.C. located?

The provider is located at 2605 Main St Mount Vernon, Il 62864 and the phone number is (618) 244-0050

What kind of medical provider is KING CITY SURGERY CENTER, S.C.?

This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery)

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 insurance plan is currently accepted.

How do I update my NPI information?

The NPI record of KING CITY SURGERY CENTER, S.C. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]