CROSSROADS SURGICAL ASSOCIATES
NPI 1417941436
Surgery in Mount Vernon, IL

NPI Status: Active since September 06, 2005

Contact Information

209 CROSSROADS PL
SUITE 130
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-3831
Fax: (618) 242-3375

Get Directions Write a Review

  • Organization
  • Surgery

About CROSSROADS SURGICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Crossroads Surgical Associates, a provider established in Mount Vernon, Illinois operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1417941436 assigned on September 2005. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Crossroads Surgical Associates. The authorized official of this NPI record is Debbie T Brewer (Director Of Provider Enrollment)

NPI
1417941436
Provider Legal Name
CROSSROADS PHYSICIAN CORP
Other Organization Name
CROSSROADS SURGICAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
209 CROSSROADS PL SUITE 130 MOUNT VERNON, IL 62864
Location Phone
(618) 242-3831
Location Fax
(618) 242-3375
Mailing Address
209 CROSSROADS PL SUITE 130 MOUNT VERNON, IL 62864
Mailing Phone
(618) 242-3831
Mailing Fax
(618) 242-3375
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-06-2005
Last Update Date
10-30-2007
Code Navigator

A surgeon like Crossroads Surgical Associates treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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

DEBBIE T BREWER

Authorized Official Title
DIRECTOR OF PROVIDER ENROLLMENT
Authorized Official Phone
(615) 465-7626

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
212649MEDICARE PIN (08)IL 
599560MEDICARE PIN (08)IL 
208459MEDICARE PIN (08)IL 

Reviews for CROSSROADS SURGICAL ASSOCIATES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1417941436, 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 1 + 8 + 4 + 2 + 4 + 6 + 24 = 64

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.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1417941436.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Family Medicine
209 CROSSROADS PL, SUITE 120
MOUNT VERNON, IL 62864
Family Medicine
209 CROSSROADS PL, SUITE 150
MOUNT VERNON, IL 62864
Surgery
209 CROSSROADS PL, SUITE #130
MOUNT VERNON, IL 62864
Family Medicine
209 CROSSROADS PL, SUITE 140
MOUNT VERNON, IL 62864
Family Medicine
209 CROSSROADS PL, SUITE 140
MOUNT VERNON, IL 62864
Family Medicine
209 CROSSROADS PL, SUITE 120
MOUNT VERNON, IL 62864
Urology
209 CROSSROADS PL, SUITE 110
MOUNT VERNON, IL 62864
Clinic/Center (Rural Health)
209 CROSSROADS PL, SUITE 120
MOUNT VERNON, IL 62864
Podiatrist
209 CROSSROADS PL, SUITE 130
MOUNT VERNON, IL 62864
Family Medicine
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Nurse Practitioner
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Family Medicine
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Nurse Practitioner (Family)
209 CROSSROADS PL
MOUNT VERNON, IL 62864
Family Medicine
209 CROSSROADS PL, SUITE 110
MOUNT VERNON, IL 62864
Internal Medicine (Pulmonary Disease)
209 CROSSROADS PL, SUITE 110
MOUNT VERNON, IL 62864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417941436, enumerated as an "organization" on September 06, 2005.

The provider is located at 209 CROSSROADS PL SUITE 130 MOUNT VERNON, IL 62864 and the phone number is (618) 242-3831.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.