STEPHEN H JENNISON M.D.
NPI 1043391766
Specialist in Springfield, IL

NPI Status: Active since October 18, 2006

Contact Information

619 E MASON ST
SUITE 4P57
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 788-0706
Fax: (217) 525-2535

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  • Individual
  • Male
  • Specialist

About STEPHEN JENNISON

This page provides the complete NPI Profile along with additional information for Stephen Jennison, a provider established in Springfield, Illinois with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1043391766 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X with license number 036-091807 (IL). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1043391766
Provider Name
STEPHEN H JENNISON M.D.
Gender
Male
Entity Type
Individual
Location Address
619 E MASON ST SUITE 4P57 SPRINGFIELD, IL 62701
Location Phone
(217) 788-0706
Location Fax
(217) 525-2535
Mailing Address
PO BOX 19420 SPRINGFIELD, IL 62794
Mailing Phone
(217) 788-0706
Mailing Fax
(217) 525-2535
Is Sole Proprietor?
No
Enumeration Date
10-18-2006
Last Update Date
06-02-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
036-091807
License State
IL
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

*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
L92313MEDICARE PIN (08)IL 
060031123OTHER (01)ILRAILROAD
F32472MEDICARE UPIN (02)IL 
L66754MEDICARE ID-TYPE UNSPECIFIED (04)IL 

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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 1043391766, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 4 → 8 3 → 6 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 6 + 9 + 2 + 7 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1043391766.

Other Providers at the Same Location


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

Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Specialist
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Physician Assistant (Medical)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Acute Care)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 E MASON ST, SUITE 3P25
SPRINGFIELD, IL 62701
Internal Medicine (Cardiovascular Disease)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Cardiovascular Disease)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Physician Assistant
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Cardiovascular Disease)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Family)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Cardiovascular Disease)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Physiological Laboratory
619 E MASON ST, ROOM 4P70
SPRINGFIELD, IL 62701
Thoracic Surgery (Cardiothoracic Vascular Surgery)
619 E MASON ST, SUITE 3P25
SPRINGFIELD, IL 62701
Nurse Practitioner (Adult Health)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Family)
619 E MASON ST, SUITE 4P57
SPRINGFIELD, IL 62701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043391766, enumerated as an "individual" on October 18, 2006.

The provider is located at 619 E MASON ST SUITE 4P57 SPRINGFIELD, IL 62701 and the phone number is (217) 788-0706.

Specialist with taxonomy code 174400000X.

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