MT VERNON NEUROLOGY, S.C. NPI 1720079015

Psychiatry & Neurology (Neurology) in Mount Vernon, IL

NPI 1720079015 Organization Psychiatry & Neurology Neurology

NPI Profile for MT VERNON NEUROLOGY, S.C.

Mt Vernon Neurology, S.c. is a provider established in Mount Vernon, Illinois specializing in psychiatry & neurology (neurology) . The NPI number of Mt Vernon Neurology, S.c. is 1720079015 and was assigned on November 2005. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Mt Vernon Neurology, S.c. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Tomasz A Kosierkiewicz Md (Md)

NPI

1720079015

Provider NameMT VERNON NEUROLOGY, S.C.
Provider Location Address2605 MAIN ST MOUNT VERNON, IL 62864
Provider Mailing AddressPO BOX 2277 MOUNT VERNON, IL 62864
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-04-2005
Last Update Date07-17-2012


Primary Taxonomy

Taxonomy Code2084N0400X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Business Address

MT VERNON NEUROLOGY, S.C.
2605 MAIN ST
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-7350
Fax: (618) 242-7351

Get Directions


Mailing Address

MT VERNON NEUROLOGY, S.C.
PO BOX 2277
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-7350
Fax: (618) 242-7351



Authorized Official

Authorized Official Name TOMASZ A KOSIERKIEWICZ MD
Authorized Official TitleMD
Authorized Official Phone(618) 242-7350

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.

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720079015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740071802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 7 + 1 + 8 + 0 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1720079015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487645776 TOMASZ A KOSIERKIEWICZ X MD
Individual
Psychiatry & Neurology (Neurology)2605 MAIN ST
MOUNT VERNON, IL 62864
(618) 242-7350
1053418780DR. ANTON SCHITTEK M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)2605 MAIN ST
MOUNT VERNON, IL 62864
(618) 244-0050
1003005463KING CITY SURGERY CENTER, S.C.
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)2605 MAIN ST
MOUNT VERNON, IL 62864
(618) 244-0050

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mt Vernon Neurology, S.c. is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.