SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET PHYSICIAN GROUP
NPI 1487960530
Radiology - Vascular & Interventional Radiology in Pottsville, PA

NPI Status: Active since August 27, 2010

Contact Information

420 S JACKSON ST
POTTSVILLE, PA
ZIP 17901
Phone: (570) 621-5000
Fax: (570) 622-8221

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Radiology
Vascular & Interventional Radiology

About SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET PHYSICIAN GROUP

This page provides the complete NPI Profile along with additional information for Schuylkill Medical Center - South Jackson Street Physician Group, a provider established in Pottsville, Pennsylvania operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1487960530 assigned on August 2010. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Schuylkill Medical Center - South Jackson Street Physician Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Schuylkill Medical Center - South Jackson Street Physician Group. The authorized official of this NPI record is Mr. John E Simodejka (President & Chief Exec. Officer)

NPI: 1487960530
Provider Legal Name: SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
Other Organization Name: SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET PHYSICIAN GROUP
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 420 S JACKSON ST POTTSVILLE, PA 17901
Location Phone: (570) 621-5000
Location Fax: (570) 622-8221
Mailing Address: 420 S JACKSON ST POTTSVILLE, PA 17901
Mailing Phone: (570) 621-5000
Mailing Fax: (570) 622-8221
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-27-2010
Last Update Date: 08-27-2010
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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: Radiology Vascular & Interventional Radiology
Taxonomy Code: 2085R0204X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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.

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: MR. JOHN E SIMODEJKA
Authorized Official Title: PRESIDENT & CHIEF EXEC. OFFICER
Authorized Official Phone: (610) 621-5111

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 1487960530, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

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 8 → 16 → 7 9 → 18 → 9 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 1 + 8 + 6 + 0 + 5 + 6 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1487960530.