JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
NPI 1255609574
Non-Pharmacy Dispensing Site in Wood River, IL

NPI Status: Active since December 01, 2011

Contact Information

1702 VAUGHN RD
WOOD RIVER, IL
ZIP 62095
Phone: (618) 259-3321

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  • Organization
  • Non-Pharmacy Dispensing Site

About JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.

This page provides the complete NPI Profile along with additional information for Jerseyville Pain Management Center, S.c., a provider established in Wood River, Illinois operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1255609574 assigned on December 2011. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Bud Chomhirun M.d. (Medical Director)

NPI
1255609574
Provider Name
JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
Entity Type
Organization
Location Address
1702 VAUGHN RD WOOD RIVER, IL 62095
Location Phone
(618) 259-3321
Mailing Address
2980 N BEVERLY GLEN CIR SUITE 301 LOS ANGELES, CA 90077
Mailing Phone
(310) 474-9809
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-01-2011
Last Update Date
01-03-2012
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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. BUD CHOMHIRUN M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(618) 259-3321

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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 1255609574, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 5 → 10 → 1 6 → 12 → 3 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 2 + 0 + 1 + 8 + 5 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1255609574.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pediatrics
1702 VAUGHN RD
WOOD RIVER, IL 62095
Physician Assistant (Medical)
1702 VAUGHN RD
WOOD RIVER, IL 62095
Chiropractor
1702 VAUGHN RD, SUITE 4
WOOD RIVER, IL 62095
Physical Medicine & Rehabilitation (Pain Medicine)
1702 VAUGHN RD
WOOD RIVER, IL 62095
Chiropractor
1702 VAUGHN RD
WOOD RIVER, IL 62095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255609574, enumerated as an "organization" on December 01, 2011.

The provider is located at 1702 VAUGHN RD WOOD RIVER, IL 62095 and the phone number is (618) 259-3321.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.