MR. WILLIAM HARRELD PETERSON PA-C
NPI 1164482212
Physician Assistant in Great Lakes, IL

NPI Status: Active since March 24, 2006

Contact Information

3420 ILLINOIS ST
USS TRANQUILITY MEDICAL CLINIC 1007
GREAT LAKES, IL
ZIP 60088
Phone: (847) 688-6755

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  • Individual
  • Male
  • Physician Assistant

About WILLIAM PETERSON

This page provides the complete NPI Profile along with additional information for William Peterson, a primary care provider established in Great Lakes, Illinois with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1164482212 assigned on March 2006. The practitioner's primary taxonomy code is 363A00000X with license number 2000-PA22 (NM). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1164482212
Provider Name
MR. WILLIAM HARRELD PETERSON PA-C
Gender
Male
Entity Type
Individual
Location Address
3420 ILLINOIS ST USS TRANQUILITY MEDICAL CLINIC 1007 GREAT LAKES, IL 60088
Location Phone
(847) 688-6755
Mailing Address
1313 PINE GROVE AVE ROUND LAKE BEACH, IL 60073
Mailing Phone
(847) 688-6755
Is Sole Proprietor?
Yes
Enumeration Date
03-24-2006
Last Update Date
07-08-2007
Code Navigator

A primary care provider (PCP) like William Peterson 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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2000-PA22
License State
NM
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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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 1164482212, 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
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 6 → 12 → 3 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 8 + 8 + 4 + 2 + 2 + 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 1164482212.

Other Providers at the Same Location


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

Psychologist (Clinical)
3420 ILLINOIS ST, REU, BUILDING 1007
GREAT LAKES, IL 60088
Family Medicine (Sports Medicine)
3420 ILLINOIS ST, USS TRANQUILLITY - BMC 1007
GREAT LAKES, IL 60088
Psychologist (Clinical)
3420 ILLINOIS ST, RECRUIT MENTAL HEALTH, USS TRANQUILLITY
GREAT LAKES, IL 60088
General Practice
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Family Medicine
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
3420 ILLINOIS ST, BHC 1007
GREAT LAKES, IL 60088
Family Medicine
3420 ILLINOIS ST, USS TRANQUILLITY CLINIC 1007
GREAT LAKES, IL 60088
Physician Assistant (Medical)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Family Medicine
3420 ILLINOIS ST, USS TRANQUILITY MEDICAL CLINIC
GREAT LAKES, IL 60088
Military/U.S. Coast Guard Pharmacy
3420 ILLINOIS ST, AH14 MEDICAL CLINIC
GREAT LAKES, IL 60088
Military/U.S. Coast Guard Pharmacy
3420 ILLINOIS ST, USS TRANQUILITYAH14 MED CLN 1017
GREAT LAKES, IL 60088
Psychologist (Clinical)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Physical Therapist
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Psychologist (Counseling)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Dental Hygienist
3420 ILLINOIS ST
NORTH CHICAGO, IL 60088
Family Medicine
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Nurse Practitioner (Family)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Specialist/Technologist, Other
3420 ILLINOIS ST
GREAT LAKES, IL 60088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164482212, enumerated as an "individual" on March 24, 2006.

The provider is located at 3420 ILLINOIS ST USS TRANQUILITY MEDICAL CLINIC 1007 GREAT LAKES, IL 60088 and the phone number is (847) 688-6755.

Physician Assistant with taxonomy code 363A00000X.