CROSSROADS FAMILY ASSOCIATES #2
NPI 1699769612
Family Medicine in Mount Vernon, IL

NPI Status: Active since September 06, 2005

Contact Information

209 CROSSROADS PL
SUITE 150
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 244-6222
Fax: (618) 244-7299

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  • Organization
  • Family Medicine

About CROSSROADS FAMILY ASSOCIATES #2

This page provides the complete NPI Profile along with additional information for Crossroads Family Associates #2, a primary care provider established in Mount Vernon, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1699769612 assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Crossroads Family Associates #2 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 Crossroads Family Associates #2. The authorized official of this NPI record is Debbie T Brewer (Director Of Provider Enrollment)

NPI
1699769612
Provider Legal Name
CROSSROADS PHYSICIAN CORP
Other Organization Name
CROSSROADS FAMILY ASSOCIATES #2
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
209 CROSSROADS PL SUITE 150 MOUNT VERNON, IL 62864
Location Phone
(618) 244-6222
Location Fax
(618) 244-7299
Mailing Address
209 CROSSROADS PL SUITE 150 MOUNT VERNON, IL 62864
Mailing Phone
(618) 244-6222
Mailing Fax
(618) 244-7299
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-06-2005
Last Update Date
09-18-2007
Code Navigator

A primary care provider (PCP) like Crossroads Family Associates #2 sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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
599560MEDICARE PIN (08)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 1699769612, we treat the final digit (2) 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 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

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
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 9 → 18 → 9 7 → 14 → 5 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 1 + 4 + 6 + 1 + 8 + 6 + 2 + 24 = 78

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

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1699769612.

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
Surgery
209 CROSSROADS PL, SUITE 130
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 1699769612, enumerated as an "organization" on September 06, 2005.

The provider is located at 209 CROSSROADS PL SUITE 150 MOUNT VERNON, IL 62864 and the phone number is (618) 244-6222.

Family Medicine with taxonomy code 207Q00000X.

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