EAI
NPI 1710073176
Clinic/Center - Ambulatory Fertility Facility in Effingham, IL

NPI Status: Active since October 05, 2006

Contact Information

1104 W EVERGREEN AVE
SUITE B
EFFINGHAM, IL
ZIP 62401
Phone: (217) 342-7090
Fax: (217) 342-7094

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  • Organization
  • Clinic/Center
  • Ambulatory Fertility Facility

About EAI

This page provides the complete NPI Profile along with additional information for Eai, a provider established in Effingham, Illinois operating as a Clinic/center, focusing in ambulatory fertility facility . The healthcare provider is registered in the NPI registry with number 1710073176 assigned on October 2006. The practitioner's primary taxonomy code is 261QA0006X with license number 2198 (IL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Eai. The authorized official of this NPI record is Dr. Theodore Fifer Md (Medical Director)

NPI
1710073176
Provider Legal Name
EVERGREEN AESTHETIC INSTITUTE LLC
Other Organization Name
EAI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1104 W EVERGREEN AVE SUITE B EFFINGHAM, IL 62401
Location Phone
(217) 342-7090
Location Fax
(217) 342-7094
Mailing Address
1104 W EVERGREEN AVE SUITE B EFFINGHAM, IL 62401
Mailing Phone
(217) 342-7090
Mailing Fax
(217) 342-7094
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2006
Last Update Date
08-22-2020
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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

Clinic/Center Ambulatory Fertility Facility

Taxonomy Code
261QA0006X
Type
Ambulatory Health Care Facilities
License No.
2198
License State
IL
Taxonomy Description
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

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. THEODORE FIFER MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(217) 342-7090

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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 1710073176, 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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 1 → 2 0 → 0 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 0 + 7 + 6 + 1 + 1 + 4 + 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 1710073176.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Surgery
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Plastic Surgery
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Surgery
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Counselor (Professional)
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710073176, enumerated as an "organization" on October 05, 2006.

The provider is located at 1104 W EVERGREEN AVE SUITE B EFFINGHAM, IL 62401 and the phone number is (217) 342-7090.

Clinic/Center with taxonomy code 261QA0006X and a focus in Ambulatory Fertility Facility.