PROVENA MEDICAL GROUP
NPI 1134314602
Family Medicine in Danville, IL

NPI Status: Active since September 07, 2007

Contact Information

405 SHERIDAN ST
DANVILLE, IL
ZIP 61832
Phone: (217) 431-6330

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  • Organization
  • Family Medicine

About PROVENA MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Provena Medical Group, a primary care provider established in Danville, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1134314602 assigned on September 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 18 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 Provena Medical Group. The authorized official of this NPI record is Mr. Daniel Boland (Financial Reporting Specialist)

NPI
1134314602
Provider Legal Name
PROVENA SERVICE CORPORATION
Other Organization Name
PROVENA MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
405 SHERIDAN ST DANVILLE, IL 61832
Location Phone
(217) 431-6330
Mailing Address
9223 W SAINT FRANCIS RD FRANKFORT, IL 60423
Mailing Phone
(815) 806-3111
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-07-2007
Last Update Date
04-20-2008
Code Navigator

A primary care provider (PCP) like Provena Medical Group 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
License State
IL
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 MULTIPLE 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.

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.

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

MR. DANIEL BOLAND

Authorized Official Title
FINANCIAL REPORTING SPECIALIST
Authorized Official Phone
(815) 806-3111

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
148932MEDICARE PIN (08) 
=========004MEDICAID (05)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 1134314602, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 6 + 1 + 8 + 6 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1134314602.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
405 SHERIDAN ST
DANVILLE, IL 61832
Point of Service
405 SHERIDAN ST
DANVILLE, IL 61832

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134314602, enumerated as an "organization" on September 07, 2007.

The provider is located at 405 SHERIDAN ST DANVILLE, IL 61832 and the phone number is (217) 431-6330.

Family Medicine with taxonomy code 207Q00000X.

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