JEFFERSON PHYSICIAN NETWORK, LLC
NPI 1558508606
Surgery - Vascular Surgery in Festus, MO

NPI Status: Active since January 12, 2009

Contact Information

1400 HIGHWAY 61
SUITE 240
FESTUS, MO
ZIP 63028
Phone: (636) 931-4002

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  • Organization
  • Surgery
  • Vascular Surgery

About JEFFERSON PHYSICIAN NETWORK, LLC

This page provides the complete NPI Profile along with additional information for Jefferson Physician Network, Llc, a provider established in Festus, Missouri operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1558508606 assigned on January 2009. The practitioner's primary taxonomy code is 2086S0129X with license number 2007029096 (MO). The provider is registered as an organization and their NPI record was last updated 13 years ago. Jefferson Physician Network, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Daniel S. Eckenfels (Cfo)

NPI
1558508606
Provider Name
JEFFERSON PHYSICIAN NETWORK, LLC
Entity Type
Organization
Location Address
1400 HIGHWAY 61 SUITE 240 FESTUS, MO 63028
Location Phone
(636) 931-4002
Mailing Address
1400 US HIGHWAY 61 FESTUS, MO 63028
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-12-2009
Last Update Date
03-12-2013
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
2007029096
License State
MO
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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. DANIEL S. ECKENFELS

Authorized Official Title
CFO
Authorized Official Phone
(636) 933-1107

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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 1558508606, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
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 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 1 + 0 + 0 + 1 + 6 + 6 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1558508606.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Ophthalmology
1400 HIGHWAY 61
FESTUS, MO 63028
Surgery
1400 HIGHWAY 61, SUITE 240
FESTUS, MO 63028
Family Medicine
1400 HIGHWAY 61, JMH MOC G40
FESTUS, MO 63028
Nurse Practitioner (Adult Health)
1400 HIGHWAY 61
FESTUS, MO 63028
Physical Therapist
1400 HIGHWAY 61
FESTUS, MO 63028
Orthopaedic Surgery
1400 HIGHWAY 61, MOC SOUTH, SUITE 210
FESTUS, MO 63028
Ambulance
1400 HIGHWAY 61
FESTUS, MO 63028
Nurse Practitioner (Obstetrics & Gynecology)
1400 HIGHWAY 61, SUITE 340
FESTUS, MO 63028
Advanced Practice Midwife
1400 HIGHWAY 61, SUITE 340
FESTUS, MO 63028
Ophthalmology
1400 HIGHWAY 61
FESTUS, MO 63028
Ambulance (Land Transport)
1400 HIGHWAY 61
FESTUS, MO 63028
General Acute Care Hospital
1400 HIGHWAY 61
FESTUS, MO 63028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558508606, enumerated as an "organization" on January 12, 2009.

The provider is located at 1400 HIGHWAY 61 SUITE 240 FESTUS, MO 63028 and the phone number is (636) 931-4002.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.