ACADEMIC SURGICAL ASSOCIATES, PLLC
NPI 1114139045
Surgery - Surgical Oncology in Grand Rapids, MI

NPI Status: Active since May 04, 2007

Contact Information

1000 E PARIS AVE SE
SUITE 150
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 977-6243
Fax: (616) 977-0396

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  • Organization
  • Surgery
  • Surgical Oncology

About ACADEMIC SURGICAL ASSOCIATES, PLLC

This page provides the complete NPI Profile along with additional information for Academic Surgical Associates, Pllc, a provider established in Grand Rapids, Michigan operating as a Surgery, focusing in surgical oncology . The healthcare provider is registered in the NPI registry with number 1114139045 assigned on May 2007. The practitioner's primary taxonomy code is 2086X0206X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Academic Surgical Associates, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. David E Scheeres Md (President)

NPI
1114139045
Provider Name
ACADEMIC SURGICAL ASSOCIATES, PLLC
Entity Type
Organization
Location Address
1000 E PARIS AVE SE SUITE 150 GRAND RAPIDS, MI 49546
Location Phone
(616) 977-6243
Location Fax
(616) 977-0396
Mailing Address
1000 E PARIS AVE SE SUITE 150 GRAND RAPIDS, MI 49546
Mailing Phone
(616) 977-6243
Mailing Fax
(616) 977-0396
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2007
Last Update Date
08-06-2007
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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

Surgery Surgical Oncology

Taxonomy Code
2086X0206X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. DAVID E SCHEERES MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(616) 977-3990

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
B18045MEDICARE UPIN (02)MI 
0N90160MEDICARE ID-TYPE UNSPECIFIED (04)MIMEDICARE GROUP
N90160004MEDICARE ID-TYPE UNSPECIFIED (04)MIVANDERKOLK INDIVUDAL MR
N90160003MEDICARE ID-TYPE UNSPECIFIED (04)MILANGE INDIVIDUAL MR
4745617MEDICAID (05)MI 
4745635MEDICAID (05)MI 
4745608MEDICAID (05)MI 
700D11379OTHER (01)MIBCBS GROUP NUMBER
G53702MEDICARE UPIN (02)MI 
N90160001MEDICARE ID-TYPE UNSPECIFIED (04)MISCHEERES INDIVIDUAL MR
N90160002MEDICARE ID-TYPE UNSPECIFIED (04)MISCHOLTEN INDIVIDUAL MR
4736850MEDICAID (05)MI 
B48400MEDICARE UPIN (02)MI 
A76692MEDICARE UPIN (02)MI 

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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 1114139045, 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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
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 1 → 2 1 → 2 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 2 + 3 + 1 + 8 + 0 + 8 + 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 1114139045.

Other Providers at the Same Location


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

Obstetrics & Gynecology
1000 E PARIS AVE SE, STE 160
GRAND RAPIDS, MI 49546
Specialist
1000 E PARIS AVE SE, SUITE 210
GRAND RAPIDS, MI 49546
Internal Medicine (Cardiovascular Disease)
1000 E PARIS AVE SE, STE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Cardiovascular Disease)
1000 E PARIS AVE SE, STE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Cardiovascular Disease)
1000 E PARIS AVE SE, STE 200
GRAND RAPIDS, MI 49546
Specialist
1000 E PARIS AVE SE, SUITE 210
GRAND RAPIDS, MI 49546
Internal Medicine (Cardiovascular Disease)
1000 E PARIS AVE SE, STE 200
GRAND RAPIDS, MI 49546
Nurse Practitioner (Adult Health)
1000 E PARIS AVE SE, STE 200
GRAND RAPIDS, MI 49546
Orthopaedic Surgery
1000 E PARIS AVE SE, SUITE 215
GRAND RAPIDS, MI 49546
Internal Medicine
1000 E PARIS AVE SE, SUITE 260
GRAND RAPIDS, MI 49546
Internal Medicine
1000 E PARIS AVE SE, SUITE 260
GRAND RAPIDS, MI 49546
Internal Medicine
1000 E PARIS AVE SE, SUITE 260
GRAND RAPIDS, MI 49546
Internal Medicine
1000 E PARIS AVE SE, SUITE 260
GRAND RAPIDS, MI 49546
Internal Medicine
1000 E PARIS AVE SE, SUITE 260
GRAND RAPIDS, MI 49546
Internal Medicine
1000 E PARIS AVE SE, SUITE 260
GRAND RAPIDS, MI 49546
Internal Medicine
1000 E PARIS AVE SE, SUITE 260
GRAND RAPIDS, MI 49546
Internal Medicine (Cardiovascular Disease)
1000 E PARIS AVE SE, STE 200
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
1000 E PARIS AVE SE, SUITE 140
GRAND RAPIDS, MI 49546
Orthopaedic Surgery (Hand Surgery)
1000 E PARIS AVE SE, SUITE 115
GRAND RAPIDS, MI 49546
Audiologist
1000 E PARIS AVE SE, SUITE # 230
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114139045, enumerated as an "organization" on May 04, 2007.

The provider is located at 1000 E PARIS AVE SE SUITE 150 GRAND RAPIDS, MI 49546 and the phone number is (616) 977-6243.

Surgery with taxonomy code 2086X0206X and a focus in Surgical Oncology.

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