MEMORIAL MEDICAL GROUP, LLC
NPI 1235474057
Internal Medicine in Belleville, IL

NPI Status: Active since December 05, 2012

Contact Information

4550 MEMORIAL DR
STE. 340
BELLEVILLE, IL
ZIP 62226
Phone: (618) 257-6302
Fax: (618) 257-4838

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  • Organization
  • Internal Medicine

About MEMORIAL MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Memorial Medical Group, Llc, an internist established in Belleville, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1235474057 assigned on December 2012. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Memorial Medical Group, 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 Mr. James B. Davis (Executive Director)

NPI
1235474057
Provider Name
MEMORIAL MEDICAL GROUP, LLC
Entity Type
Organization
Location Address
4550 MEMORIAL DR STE. 340 BELLEVILLE, IL 62226
Location Phone
(618) 257-6302
Location Fax
(618) 257-4838
Mailing Address
4550 MEMORIAL DR STE. 340 BELLEVILLE, IL 62226
Mailing Phone
(618) 257-6302
Mailing Fax
(618) 257-4838
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2012
Last Update Date
12-05-2012
Code Navigator

An internist like Memorial Medical Group, Llc 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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
4207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 
5207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

 
6207RG0300XAllopathic & Osteopathic Physicians

Internal Medicine
Geriatric Medicine

 
7207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
8207RS0010XAllopathic & Osteopathic Physicians

Internal Medicine
Sports Medicine

 
9207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
10207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
11208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
122086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

 
132086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
14208800000XAllopathic & Osteopathic Physicians

Urology

 

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.

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. JAMES B. DAVIS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(618) 257-6302

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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 1235474057, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 4 → 8 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 8 + 7 + 8 + 0 + 1 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1235474057.

Other Providers at the Same Location


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

Specialist/Technologist (Athletic Trainer)
4550 MEMORIAL DR, SUITE G-100
BELLEVILLE, IL 62226
Obstetrics & Gynecology (Gynecology)
4550 MEMORIAL DR, STE 200
BELLEVILLE, IL 62226
Internal Medicine (Nephrology)
4550 MEMORIAL DR, SUITE 360
BELLEVILLE, IL 62226
Obstetrics & Gynecology (Gynecology)
4550 MEMORIAL DR, SUITE 200
BELLEVILLE, IL 62226
Specialist
4550 MEMORIAL DR, SUITE 460
BELLEVILLE, IL 62226
Occupational Therapist
4550 MEMORIAL DR, MEDICAL BUILDING #1 STE 470
BELLEVILLE, IL 62226
Specialist
4550 MEMORIAL DR, SUITE 410
BELLEVILLE, IL 62226
Dietitian, Registered
4550 MEMORIAL DR, MEDICAL OFFICE BUILDING ONE SUITE 360
BELLEVILLE, IL 62226
Specialist
4550 MEMORIAL DR, SUITE 460
BELLEVILLE, IL 62226
Specialist/Technologist (Athletic Trainer)
4550 MEMORIAL DR, MOC-1, SUITE G-100
BELLEVILLE, IL 62226
Urology
4550 MEMORIAL DR, STE 350
BELLEVILLE, IL 62226
Psychiatry & Neurology (Neurology)
4550 MEMORIAL DR, STE A-480
BELLEVILLE, IL 62226
Urology
4550 MEMORIAL DR, STE 280
BELLEVILLE, IL 62226
Internal Medicine (Nephrology)
4550 MEMORIAL DR, STE 410
BELLEVILLE, IL 62226
Hospitalist
4550 MEMORIAL DR, SUITE 340
BELLEVILLE, IL 62226
Family Medicine
4550 MEMORIAL DR, STE 180
BELLEVILLE, IL 62226
Internal Medicine (Cardiovascular Disease)
4550 MEMORIAL DR, STE 310
BELLEVILLE, IL 62226
Internal Medicine (Cardiovascular Disease)
4550 MEMORIAL DR, SUITE 320
BELLEVILLE, IL 62226
Internal Medicine
4550 MEMORIAL DR, STE. 340
BELLEVILLE, IL 62226
Hospitalist
4550 MEMORIAL DR, STE. 340
BELLEVILLE, IL 62226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235474057, enumerated as an "organization" on December 05, 2012.

The provider is located at 4550 MEMORIAL DR STE. 340 BELLEVILLE, IL 62226 and the phone number is (618) 257-6302.

Internal Medicine with taxonomy code 207R00000X.