SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC
NPI 1023001377
Clinic/Center - Ambulatory Surgical in Herrin, IL

NPI Status: Active since August 23, 2005

Contact Information

510 LINCOLN DR
HERRIN, IL
ZIP 62948
Phone: (618) 997-3100
Fax: (618) 997-3616

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 14D0978769
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-02-2026

About SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC

This page provides the complete NPI Profile along with additional information for Southern Illinois Orthopedic Center,llc, a provider established in Herrin, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1023001377 assigned on August 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 7002421 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Justin Harris Msha, Mba, Fache (Chief Executive Officer)

NPI
1023001377
Provider Name
SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC
Entity Type
Organization
Location Address
510 LINCOLN DR HERRIN, IL 62948
Location Phone
(618) 997-3100
Location Fax
(618) 997-3616
Mailing Address
600 S CLIFF AVE STE 106 SIOUX FALLS, SD 57104
Mailing Phone
(618) 997-3100
Mailing Fax
(618) 997-3616
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2005
Last Update Date
05-28-2024
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
7002421
License State
IL

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.

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

JUSTIN HARRIS MSHA, MBA, FACHE

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(859) 537-7001

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
066440OTHER (01)HEALTH ALLIANCE
1458OTHER (01)ILBC/BS
441874OTHER (01)HEALTHLINK
133621000OTHER (01)US DEPT OF LABOR

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 28 times for 27 patients

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 16 times for 11 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 89 times for 73 patients

Injection, bupivacaine liposome, 1 mg

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

This service was performed 10,906 times for 39 patients

Release and/or relocation of elbow nerve

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

This service was performed 41 times for 37 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 102 times for 85 patients

Removal of bone joints between wrist and fingers

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

This service was performed 16 times for 16 patients

Removal of both knee cartilages using an endoscope

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

This service was performed 14 times for 14 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 14 times for 14 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 40 times for 38 patients

Transfer of tendon to back of hand

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

This service was performed 15 times for 15 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0978769
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 03, 2024
Certificate Expiration Date
October 02, 2026
Laboratory Director
JOHN T. DAVIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Illinois Orthopedic Center,llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1023001377, we treat the final digit (7) 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 2 → 4 0 → 0 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 0 + 0 + 2 + 3 + 1 + 4 + 24 = 43

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

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1023001377.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
510 LINCOLN DR
HERRIN, IL 62948
Nurse Anesthetist, Certified Registered
510 LINCOLN DR
HERRIN, IL 62948
Orthopaedic Surgery
510 LINCOLN DR, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Occupational Therapist
510 LINCOLN DR, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Orthopaedic Surgery
510 LINCOLN DR, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Registered Nurse (Orthopedic)
510 LINCOLN DR
HERRIN, IL 62948
510 LINCOLN DR
HERRIN, IL 62948
Orthopaedic Surgery
510 LINCOLN DR
HERRIN, IL 62948
Physician Assistant
510 LINCOLN DR
HERRIN, IL 62948
Physician Assistant
510 LINCOLN DR
HERRIN, IL 62948
Physical Therapist
510 LINCOLN DR
HERRIN, IL 62948
Nurse Practitioner
510 LINCOLN DR
HERRIN, IL 62948
Physical Therapy Assistant
510 LINCOLN DR
HERRIN, IL 62948
Physical Therapy Assistant
510 LINCOLN DR
HERRIN, IL 62948
Occupational Therapy Assistant
510 LINCOLN DR
HERRIN, IL 62948
Physical Therapy Assistant
510 LINCOLN DR
HERRIN, IL 62948
Physical Therapy Assistant
510 LINCOLN DR
HERRIN, IL 62948
Physical Therapist
510 LINCOLN DR
HERRIN, IL 62948
Podiatrist (Foot & Ankle Surgery)
510 LINCOLN DR
HERRIN, IL 62948
Physical Therapist
510 LINCOLN DR
HERRIN, IL 62948

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023001377, enumerated as an "organization" on August 23, 2005.

The provider is located at 510 LINCOLN DR HERRIN, IL 62948 and the phone number is (618) 997-3100.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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