O'FALLON FAMILY MEDICINE CENTER
NPI 1104849165
Family Medicine in O Fallon, IL

NPI Status: Active since July 25, 2006

Contact Information

1512 N GREEN MOUNT RD
SUITE 108
O FALLON, IL
ZIP 62269
Phone: (618) 624-5510
Fax: (618) 624-5525

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  • Organization
  • Family Medicine

About O'FALLON FAMILY MEDICINE CENTER

This page provides the complete NPI Profile along with additional information for O'fallon Family Medicine Center, a primary care provider established in O Fallon, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1104849165 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as O'fallon Family Medicine Center. The authorized official of this NPI record is Mark D Evard (Vp Of Revenue Cycle)

NPI
1104849165
Provider Legal Name
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Other Organization Name
O'FALLON FAMILY MEDICINE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1512 N GREEN MOUNT RD SUITE 108 O FALLON, IL 62269
Location Phone
(618) 624-5510
Location Fax
(618) 624-5525
Mailing Address
3051 HOLLIS DR SPRINGFIELD, IL 62704
Mailing Phone
(618) 624-5510
Mailing Fax
(618) 624-5525
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2006
Last Update Date
10-31-2024
Code Navigator

A primary care provider (PCP) like O'fallon Family Medicine Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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

MARK D EVARD

Authorized Official Title
VP OF REVENUE CYCLE
Authorized Official Phone
(217) 492-9651

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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 1104849165, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 0 → 0 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 6 + 4 + 1 + 8 + 1 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104849165.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Obstetrics & Gynecology
1512 N GREEN MOUNT RD, SUITE 107
O FALLON, IL 62269
Emergency Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Orthopaedic Surgery
1512 N GREEN MOUNT RD, SUITE 300
O FALLON, IL 62269
Clinic/Center (Magnetic Resonance Imaging (MRI))
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Clinic/Center (Urgent Care)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Emergency Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Clinical Medical Laboratory
1512 N GREEN MOUNT RD, TRI LAB LLC AT ST ELIZABETHS MEDICAL PARK
O FALLON, IL 62269
Internal Medicine (Geriatric Medicine)
1512 N GREEN MOUNT RD, SUITE 200
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O'FALLON, IL 62269
Preventive Medicine (Occupational Medicine)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Nurse Practitioner (Family)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Nurse Practitioner (Family)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Clinic/Center
1512 N GREEN MOUNT RD, SUITE 200
O FALLON, IL 62269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104849165, enumerated as an "organization" on July 25, 2006.

The provider is located at 1512 N GREEN MOUNT RD SUITE 108 O FALLON, IL 62269 and the phone number is (618) 624-5510.

Family Medicine with taxonomy code 207Q00000X.