CHARLES R. POTTER, M.D., L.L.C.
NPI 1538254727
Otolaryngology in Decatur, IL

NPI Status: Active since October 04, 2006

Contact Information

1770 E LAKE SHORE DR
SUITE 306
DECATUR, IL
ZIP 62521
Phone: (217) 422-1199
Fax: (217) 422-1277

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  • Organization
  • Otolaryngology

About CHARLES R. POTTER, M.D., L.L.C.

This page provides the complete NPI Profile along with additional information for Charles R. Potter, M.d., L.l.c., a provider established in Decatur, Illinois operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1538254727 assigned on October 2006. The practitioner's primary taxonomy code is 207Y00000X with license number 036-065056 (IL). The provider is registered as an organization and their NPI record was last updated 18 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 authorized official of this NPI record is Dr. Charles R Potter M.d. (Owner)

NPI
1538254727
Provider Name
CHARLES R. POTTER, M.D., L.L.C.
Entity Type
Organization
Location Address
1770 E LAKE SHORE DR SUITE 306 DECATUR, IL 62521
Location Phone
(217) 422-1199
Location Fax
(217) 422-1277
Mailing Address
1770 E LAKE SHORE DR SUITE 306 DECATUR, IL 62521
Mailing Phone
(217) 422-1199
Mailing Fax
(217) 422-1277
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
06-19-2008
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License No.
036-065056
License State
IL
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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.

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. CHARLES R POTTER M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(217) 422-1199

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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 1538254727, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 4 + 5 + 8 + 7 + 4 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1538254727.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1770 E LAKE SHORE DR, SUITE 203
DECATUR, IL 62521
Internal Medicine
1770 E LAKE SHORE DR, SUITE 201
DECATUR, IL 62521
Pediatrics
1770 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner (Family)
1770 E LAKE SHORE DR, SUITE 207
DECATUR, IL 62521
Dermatology
1770 E LAKE SHORE DR, SUITE #301
DECATUR, IL 62521
Internal Medicine
1770 E LAKE SHORE DR, SUITE 307
DECATUR, IL 62521
Physician Assistant
1770 E LAKE SHORE DR, SUITE 207
DECATUR, IL 62521
Ophthalmology
1770 E LAKE SHORE DR, SUITE 101
DECATUR, IL 62521
Social Worker (Clinical)
1770 E LAKE SHORE DR, SUITE 209
DACATUR, IL 62521
Psychiatry & Neurology (Psychiatry)
1770 E LAKE SHORE DR, STE 209
DECATUR, IL 62521
Nurse Practitioner (Family)
1770 E LAKE SHORE DR, SUITE 105
DECATUR, IL 62521
Counselor (Professional)
1770 E LAKE SHORE DR, SUITE 209
DECATUR, IL 62521
Counselor (Professional)
1770 E LAKE SHORE DR, #208
DECATUR, IL 62521
Podiatrist
1770 E LAKE SHORE DR, STE 100
DECATUR, IL 62521
Counselor (Professional)
1770 E LAKE SHORE DR, SUITE #208
DECATUR, IL 62521
Counselor (Professional)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine
1770 E LAKE SHORE DR, STE 201
DECATUR, IL 62521
Obstetrics & Gynecology
1770 E LAKE SHORE DR, STE 309
DECATUR, IL 62521
Psychiatry & Neurology (Psychiatry)
1770 E LAKE SHORE DR, SUITE 208
DECATUR, IL 62521
Psychiatry & Neurology (Psychiatry)
1770 E LAKE SHORE DR, SUITE 209
DECATUR, IL 62521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538254727, enumerated as an "organization" on October 04, 2006.

The provider is located at 1770 E LAKE SHORE DR SUITE 306 DECATUR, IL 62521 and the phone number is (217) 422-1199.

Otolaryngology with taxonomy code 207Y00000X.