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
- 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
- Code Navigator
Location Map
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.
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 |
|---|---|---|---|
| 066440 | OTHER (01) | HEALTH ALLIANCE | |
| 1458 | OTHER (01) | IL | BC/BS |
| 441874 | OTHER (01) | HEALTHLINK | |
| 133621000 | OTHER (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
Correction of toe joint deformity
Incision of tendon covering of finger
Injection, bupivacaine liposome, 1 mg
Release and/or relocation of elbow nerve
Release and/or relocation of hand nerve
Removal of bone joints between wrist and fingers
Removal of both knee cartilages using an endoscope
Removal of knee cartilage using an endoscope
Replacement of knee joint, both sides of knee
Transfer of tendon to back of hand
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 patientsCorrection 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 patientsThis 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 patientsBupivacaine 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsA 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 patientsA 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 patientsCLIA 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HERRIN, IL 62948
HERRIN, IL 62948
HERRIN, IL 62948
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.