GERIATRIC AND PRIMARY CARE SERVICES S C
NPI 1174535900
Internal Medicine - Geriatric Medicine in Marion, IL

NPI Status: Active since August 12, 2006

Contact Information

1606 CASTLEBERRY DR
MARION, IL
ZIP 62959
Phone: (618) 997-9519
Fax: (618) 993-0592

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  • Organization
  • Internal Medicine
  • Geriatric Medicine

About GERIATRIC AND PRIMARY CARE SERVICES S C

This page provides the complete NPI Profile along with additional information for Geriatric And Primary Care Services S C, an internist established in Marion, Illinois operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1174535900 assigned on August 2006. The practitioner's primary taxonomy code is 207RG0300X with license number 036111926 (IL). The provider is registered as an organization and their NPI record was last updated 14 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 authorized official of this NPI record is Dr. Gladstone A Tucker Md (Owner)

NPI
1174535900
Provider Name
GERIATRIC AND PRIMARY CARE SERVICES S C
Entity Type
Organization
Location Address
1606 CASTLEBERRY DR MARION, IL 62959
Location Phone
(618) 997-9519
Location Fax
(618) 993-0592
Mailing Address
PO BOX 752 CONCORDIA, MO 64020
Mailing Phone
(660) 463-1365
Mailing Fax
(618) 993-0592
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2006
Last Update Date
07-25-2012
Code Navigator

An internist like Geriatric And Primary Care Services S C is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
License No.
036111926
License State
IL
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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.

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

DR. GLADSTONE A TUCKER MD

Authorized Official Title
OWNER
Authorized Official Phone
(618) 542-6152

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
210973MEDICARE ID-TYPE UNSPECIFIED (04)IL 
DD5755MEDICARE ID-TYPE UNSPECIFIED (04)RAILROAD
213281MEDICARE OSCAR/CERTIFICATION (06)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 1174535900, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 0 + 3 + 1 + 0 + 9 + 0 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1174535900.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine (Geriatric Medicine)
1606 CASTLEBERRY DR
MARION, IL 62959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174535900, enumerated as an "organization" on August 12, 2006.

The provider is located at 1606 CASTLEBERRY DR MARION, IL 62959 and the phone number is (618) 997-9519.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

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