PEDIACTRIC CARDIOLOGY OF ILLINOIS
NPI 1538292370
Pediatrics - Pediatric Cardiology in Carbondale, IL

NPI Status: Active since March 13, 2007

Contact Information

2601 W MAIN ST
CARBONDALE, IL
ZIP 62901
Phone: (618) 549-5361

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  • Organization
  • Pediatrics
  • Pediatric Cardiology

About PEDIACTRIC CARDIOLOGY OF ILLINOIS

This page provides the complete NPI Profile along with additional information for Pediactric Cardiology Of Illinois, a pediatrician established in Carbondale, Illinois operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1538292370 assigned on March 2007. The practitioner's primary taxonomy code is 2080P0202X. 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 Pediactric Cardiology Of Illinois. The authorized official of this NPI record is Raymond P Davidson Ii Md (President)

NPI
1538292370
Provider Legal Name
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Other Organization Name
PEDIACTRIC CARDIOLOGY OF ILLINOIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2601 W MAIN ST CARBONDALE, IL 62901
Location Phone
(618) 549-5361
Mailing Address
670 MASON RIDGE CENTER DR SUITE 300 SAINT LOUIS, MO 63141
Mailing Phone
(314) 996-7644
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2007
Last Update Date
01-07-2008
Code Navigator

A pediatrician like Pediactric Cardiology Of Illinois is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

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

RAYMOND P DAVIDSON II MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 286-2028

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
413610MEDICARE ID-TYPE UNSPECIFIED (04)IL 

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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 1538292370, 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
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
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 2 → 4 7 → 14 → 5

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 + 9 + 4 + 3 + 1 + 4 + 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 1538292370.

Other Providers at the Same Location


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

Nurse Anesthetist, Certified Registered
2601 W MAIN ST
CARBONDALE, IL 62901
Surgery
2601 W MAIN ST
CARBONDALE, IL 62901
Dermatology
2601 W MAIN ST
CARBONDALE, IL 62901
Pediatrics
2601 W MAIN ST
CARBONDALE, IL 62901
Urology
2601 W MAIN ST
CARBONDALE, IL 62901
Nurse Practitioner (Pediatrics)
2601 W MAIN ST
CARBONDALE, IL 62901
Clinic/Center (Multi-Specialty)
2601 W MAIN ST
CARBONDALE, IL 62901
Physician Assistant
2601 W MAIN ST
CARBONDALE, IL 62901
Clinic/Center (Rural Health)
2601 W MAIN ST
CARBONDALE, IL 62901
Physician Assistant
2601 W MAIN ST
CARBONDALE, IL 62901
Pharmacy (Community/Retail Pharmacy)
2601 W MAIN ST, SUITE 101
CARBONDALE, IL 62901
Clinical Medical Laboratory
2601 W MAIN ST
CARBONDALE, IL 62901
Radiology (Diagnostic Radiology)
2601 W MAIN ST
CARBONDALE, IL 62901
Clinic/Center (Ambulatory Surgical)
2601 W MAIN ST
CARBONDALE, IL 62901
Dietitian, Registered
2601 W MAIN ST
CARBONDALE, IL 62901
Family Medicine
2601 W MAIN ST
CARBONDALE, IL 62901
Clinic/Center (Ambulatory Surgical)
2601 W MAIN ST
CARBONDALE, IL 62901
Otolaryngology
2601 W MAIN ST
CARBONDALE, IL 62901
Otolaryngology
2601 W MAIN ST
CARBONDALE, IL 62901
Clinic/Center (Ambulatory Surgical)
2601 W MAIN ST
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538292370, enumerated as an "organization" on March 13, 2007.

The provider is located at 2601 W MAIN ST CARBONDALE, IL 62901 and the phone number is (618) 549-5361.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

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