FAIRVIEW HEIGHTS MEDICAL GROUP SC
NPI 1407912736
Clinic/Center - Medical Specialty in Bridgeton, MO
NPI Status: Active since December 29, 2006
Contact Information
3165 MCKELVEY RD
210
BRIDGETON, MO
ZIP 63044
Phone: (314) 996-8148
Fax: (314) 996-8134
- Organization
- Clinic/Center
- Medical Specialty
About FAIRVIEW HEIGHTS MEDICAL GROUP SC
This page provides the complete NPI Profile along with additional information for Fairview Heights Medical Group Sc, a provider established in Bridgeton, Missouri operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1407912736 assigned on December 2006. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. John Ellena M.d. (Medical Director)
- NPI
- 1407912736
- Provider Name
- FAIRVIEW HEIGHTS MEDICAL GROUP SC
- Entity Type
- Organization
- Location Address
- 3165 MCKELVEY RD 210 BRIDGETON, MO 63044
- Location Phone
- (314) 996-8148
- Location Fax
- (314) 996-8134
- Mailing Address
- 11155 DUNN RD 108N SAINT LOUIS, MO 63136
- Mailing Phone
- (314) 355-6779
- Mailing Fax
- (314) 996-8134
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-29-2006
- Last Update Date
- 08-22-2020
- 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
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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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 1407912736, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
BRIDGETON, MO 63044
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407912736, enumerated as an "organization" on December 29, 2006.
The provider is located at 3165 MCKELVEY RD 210 BRIDGETON, MO 63044 and the phone number is (314) 996-8148.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
