MRS. KIMBERLY ROCHELLE GORDON SURGICAL ASSISTANT
NPI 1245407709
Specialist/Technologist, Other - Surgical Assistant in Bloomington, IL

NPI Status: Active since May 14, 2008

Contact Information

3002 GILL ST STE 3
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 846-4716

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  • Individual
  • Female
  • Specialist/Technologist, Other
  • Surgical Assistant

About KIMBERLY GORDON

This page provides the complete NPI Profile along with additional information for Kimberly Gordon, a provider established in Bloomington, Illinois with a medical specialization in Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1245407709 assigned on May 2008. The practitioner's primary taxonomy code is 246ZC0007X. The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1245407709
Provider Name
MRS. KIMBERLY ROCHELLE GORDON SURGICAL ASSISTANT
Gender
Female
Entity Type
Individual
Location Address
3002 GILL ST STE 3 BLOOMINGTON, IL 61704
Location Phone
(309) 846-4716
Mailing Address
1213 RIVIERA DR BLOOMINGTON, IL 61701
Mailing Phone
(309) 242-6439
Is Sole Proprietor?
Yes
Enumeration Date
05-14-2008
Last Update Date
05-14-2008
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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

Specialist/Technologist, Other Surgical Assistant

Taxonomy Code
246ZC0007X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245407709
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285801470
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 8 + 0 + 1 + 4 + 7 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1245407709 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MISS KRISTA L RUESTMAN

Specialist/Technologist, Other

(Surgical Assistant)

3002 GILL ST STE 3
BLOOMINGTON, IL
ZIP 61704

(309) 846-4716

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245407709, enumerated in the NPI registry as an "individual" on May 14, 2008

The provider is located at 3002 Gill St Ste 3 Bloomington, Il 61704 and the phone number is (309) 846-4716

The provider's speciality is Specialist/Technologist, Other with taxonomy code 246ZC0007X with a focus in Surgical Assistant

This NPI record was last updated on May 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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