MIDWEST SPINECARE, SC NPI 1003022476
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Dyer, IN

Organization Orthopaedic Surgery Orthopaedic Surgery of the Spine

About MIDWEST SPINECARE, SC

Midwest Spinecare, Sc is a provider established in Dyer, Indiana specializing in Orthopaedic Surgery with a focus in orthopaedic surgery of the spine . The NPI number of Midwest Spinecare, Sc is 1003022476 and was assigned on May 2007. The practitioner's primary taxonomy code is 207XS0117X with license number 036095817 (IL). The provider is registered as an organization and their NPI record was last updated 8 years ago. Midwest Spinecare, Sc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Midwest Spinecare, Sc. The authorized official of this NPI record is Dr. Mark K. Chang Md (Medical Director)

NPI
1003022476
Provider NameMIDWEST SPINECARE, SC
Provider Location Address1100 JOLIET ST STE 104 DYER, IN 46311
Provider Mailing Address1100 JOLIET ST STE 104 DYER, IN 46311
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMIDWEST SPINECARE, SC
Other Name TypeDoing Business As (3)
Enumeration Date05-15-2007
Last Update Date01-13-2015


Primary Taxonomy

Taxonomy Code207XS0117X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
SpecializationOrthopaedic Surgery of the Spine
License No.036095817
License StateIL
Taxonomy DescriptionRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Business Address

MIDWEST SPINECARE, SC
1100 JOLIET ST
STE 104
DYER, IN
ZIP 46311
Phone: (219) 836-4955
Fax: (219) 865-2377

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Mailing Address

MIDWEST SPINECARE, SC
1100 JOLIET ST
STE 104
DYER, IN
ZIP 46311
Phone: (219) 836-4955
Fax: (219) 865-2377


Authorized Official

Authorized Official NameDR. MARK K. CHANG MD
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(219) 836-4955

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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 Identifier Issuer
215218MEDICARE PIN (08)IL
251090MEDICARE PIN (08)IN
200868870AMEDICAID (05)IN
IN2023MEDICARE OSCAR/CERTIFICATION (06)IN
5930340002MEDICARE NSC (07)IN
DG1633OTHER (01)ILRR MEDICARE
G45938MEDICARE UPIN (02)

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.
1003022476
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003024414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 4 + 4 + 1 + 4 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003022476 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720031123MS. MARTA CIESLIK MSPT
Individual
Physical Therapist1100 JOLIET ST SUITE 205
DYER, IN 46311
(219) 864-3300
1528014859 TARA RAMESH PAI MSPT
Individual
Physical Therapist1100 JOLIET ST SUITE 205
DYER, IN 46311
(219) 864-3300
1578503744 SIMA K SHAH DPT
Individual
Physical Therapist1100 JOLIET ST SUITE 205
DYER, IN 46311
(219) 864-3300
1750319679BACK TO WORK, INC.
Organization
Physical Therapist1100 JOLIET ST SUITE 105
DYER, IN 46311
(219) 864-3300
1093009516ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC
Organization
Physical Therapist1100 JOLIET ST SUITE 205
DYER, IN 46311
(219) 864-3300
1871561977 DOUGLAS HOEKSEMA PT
Individual
Physical Therapist1100 JOLIET ST SUITE 205
DYER, IN 46311
(219) 864-3300
1053579912MARK K CHANG MD
Organization
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)1100 JOLIET ST SUITE 104
DYER, IN 46311
(219) 836-4955
1477801116 SARAH K MARTINEZ DPT
Individual
Physical Therapist1100 JOLIET ST SUITE 105
DYER, IN 46311
(219) 864-3300
1669486833MRS. SARA JINANE STAFFORD PT
Individual
Physical Therapist1100 JOLIET ST STE 105
DYER, IN 46311
(219) 864-3300
1912360546 MICHELLE TERWILLIGER NP
Individual
Nurse Practitioner (Family)1100 JOLIET ST SUITE 201
DYER, IN 46311
(219) 836-2096
1699715615 DANIEL P BENJAMIN PT
Individual
Physical Therapist1100 JOLIET ST SUITE 205
DYER, IN 46311
(219) 864-3300
1902839525 SAMER KASSAR MD
Individual
Psychiatry & Neurology (Neurology)1100 JOLIET ST SUITE 201
DYER, IN 46311
(219) 836-2096
1366894495 ROLAND SAUCIER
Individual
Physical Therapist1100 JOLIET ST 105
DYER, IN 46311
(219) 864-3300
1497709950MBWOUDE, INC.
Organization
Physical Therapist1100 JOLIET ST SUITE 105
DYER, IN 46311
(219) 864-3300
1871607507 MARK K CHANG M.D.
Individual
Orthopaedic Surgery1100 JOLIET ST STE 104
DYER, IN 46311
(219) 836-4955

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Midwest Spinecare, Sc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

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