SARAH BUSH LINCOLN BONUTTI CLINIC
NPI 1285687996
Orthopaedic Surgery in Effingham, IL
NPI Status: Active since May 17, 2006
Contact Information
1303 W EVERGREEN AVE
SUITE 101
EFFINGHAM, IL
ZIP 62401
Phone: (217) 342-3400
Fax: (217) 342-6416
- Organization
- Orthopaedic Surgery
- Accepts Insurance
- CLIA Number: 14D0963030
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 02-01-2027
About SARAH BUSH LINCOLN BONUTTI CLINIC
This page provides the complete NPI Profile along with additional information for Sarah Bush Lincoln Bonutti Clinic, a provider established in Effingham, Illinois operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1285687996 assigned on May 2006. The practitioner's primary taxonomy code is 207X00000X with license number 060005120 (IL). The provider is registered as an organization and their NPI record was last updated 7 years ago. Sarah Bush Lincoln Bonutti Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sarah Bush Lincoln Bonutti Clinic. The authorized official of this NPI record is Dennis Pluard (Cfo & Vp Of Operations)
- NPI
- 1285687996
- Provider Legal Name
- BONUTTI ORTHOPEDIC SERVICES LTD
- Other Organization Name
- SARAH BUSH LINCOLN BONUTTI CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1303 W EVERGREEN AVE SUITE 101 EFFINGHAM, IL 62401
- Location Phone
- (217) 342-3400
- Location Fax
- (217) 342-6416
- Mailing Address
- 1303 W EVERGREEN AVE STE 101 EFFINGHAM, IL 62401
- Mailing Phone
- (217) 342-3400
- Mailing Fax
- (217) 342-6416
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-17-2006
- Last Update Date
- 05-22-2018
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 060005120
- License State
- IL
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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) |
|---|---|---|---|---|
| 1 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 060005120 (IL) |
| 2 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | (IL) |
| 3 | 2083S0010X | Allopathic & Osteopathic Physicians | Preventive Medicine | 060005120 (IL) |
| 4 | 2083X0100X | Allopathic & Osteopathic Physicians | Preventive Medicine | 060005120 (IL) |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
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.
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.
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 |
|---|---|---|---|
| 166708 | OTHER (01) | IL | HEALTHLINK |
| =========-60401-02 | MEDICAID (05) | IL | |
| 2500074 | OTHER (01) | IL | BLUECROSS BLUE SHIELD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0963030
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- February 02, 2025
- Certificate Expiration Date
- February 01, 2027
- Laboratory Director
- ANA WATTS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sarah Bush Lincoln Bonutti Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for SARAH BUSH LINCOLN BONUTTI CLINIC
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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. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 8 | 7 | 9 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 8 | 14 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 1 + 4 + 9 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1285687996 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
MRS. JENNIFER NAVE LPTA
Physical Therapy Assistant
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
CHERYL MEANS COTA/L
Occupational Therapy Assistant
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
MRS. ZENDA LYNN LEWIS OTR/L, CHT, CWCE,CLT
Occupational Therapist
(Hand)
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
MS. SARAH LYNN KECK PT, DPT
Physical Therapist
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
COURTNEY TAYLOR PTA
Physical Therapy Assistant
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
MR. CHAD HOPKINS MS,ATC
Specialist/Technologist
(Athletic Trainer)
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
DIANE STEWART RN/C, APN
Nurse Practitioner
(Adult Health)
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
LISA E PLUMMER ATC
Specialist/Technologist
(Athletic Trainer)
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
MR. TROY ALAN VANBLARICUM ATC
Specialist/Technologist
(Athletic Trainer)
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
BROCK WAYNE ATHEY MPT
Physical Therapist
1303 W EVERGREEN AVE
BIOMAX STE 102
EFFINGHAM, IL
ZIP 62401
MR. ANDREW VANNATTA CO
Orthotist
1303 W EVERGREEN AVE
SUITE 101
EFFINGHAM, IL
ZIP 62401
DIANA L COLE RN, CNOR, CRNFA
Registered Nurse
(Medical-Surgical)
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
BIOMAX REHABILITATION SERVICES, INC
Prosthetic/Orthotic Supplier
1303 W EVERGREEN AVE
STE 102
EFFINGHAM, IL
ZIP 62401
DIANA WOLTMAN RNFA, CNOR
Registered Nurse
(Registered Nurse First Assistant)
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
MR. LINDELL LEE RICHARDS P.T.
Physical Therapist
1303 W EVERGREEN AVE
EFFINGHAM, IL
ZIP 62401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285687996, enumerated as an "organization" on May 17, 2006.
The provider is located at 1303 W EVERGREEN AVE SUITE 101 EFFINGHAM, IL 62401 and the phone number is (217) 342-3400.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Aetna CVS Health, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.
