KING CITY PHYSICIAN COMPANY, LLC
NPI 1134470859
Otolaryngology - Plastic Surgery within the Head & Neck in Mount Vernon, IL
NPI Status: Active since September 20, 2012
Contact Information
4117 S WATER TOWER PL
SUITE C
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-0672
Fax: (618) 242-0862
- Organization
- Otolaryngology
- Plastic Surgery within the Head & Neck
About KING CITY PHYSICIAN COMPANY, LLC
This page provides the complete NPI Profile along with additional information for King City Physician Company, Llc, a provider established in Mount Vernon, Illinois operating as a Otolaryngology, focusing in plastic surgery within the head & neck . The healthcare provider is registered in the NPI registry with number 1134470859 assigned on September 2012. The practitioner's primary taxonomy code is 207YX0007X. The provider is registered as an organization and their NPI record was last updated 3 years ago. King City Physician Company, Llc 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 Laura J Fey (Sr. Director Physician Rev Cycle)
- NPI
- 1134470859
- Provider Name
- KING CITY PHYSICIAN COMPANY, LLC
- Entity Type
- Organization
- Location Address
- 4117 S WATER TOWER PL SUITE C MOUNT VERNON, IL 62864
- Location Phone
- (618) 242-0672
- Location Fax
- (618) 242-0862
- Mailing Address
- 4117 S WATER TOWER PL SUITE C MOUNT VERNON, IL 62864
- Mailing Phone
- (618) 242-0672
- Mailing Fax
- (618) 242-0862
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-20-2012
- Last Update Date
- 07-07-2023
- 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
Otolaryngology Plastic Surgery within the Head & Neck
- Taxonomy Code
- 207YX0007X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 2080A0000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 6 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 7 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 8 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 9 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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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 1134470859, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
MOUNT VERNON, IL 62864
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134470859, enumerated as an "organization" on September 20, 2012.
The provider is located at 4117 S WATER TOWER PL SUITE C MOUNT VERNON, IL 62864 and the phone number is (618) 242-0672.
Otolaryngology with taxonomy code 207YX0007X and a focus in Plastic Surgery within the Head & Neck.
