PROCTOR MEDICAL GROUP SURGERY - C K SONG MD
NPI 1720223837
Clinic/Center - Ambulatory Surgical in Peoria, IL

NPI Status: Active since December 04, 2008

Contact Information

5401 N KNOXVILLE AVE
STE 217
PEORIA, IL
ZIP 61614
Phone: (309) 691-1092

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About PROCTOR MEDICAL GROUP SURGERY - C K SONG MD

This page provides the complete NPI Profile along with additional information for Proctor Medical Group Surgery - C K Song Md, a provider established in Peoria, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1720223837 assigned on December 2008. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Proctor Medical Group Surgery - C K Song Md. The authorized official of this NPI record is Denise Brinker (System Analyst)

NPI
1720223837
Provider Legal Name
PROCTOR HEALTH SYSTEMS
Other Organization Name
PROCTOR MEDICAL GROUP SURGERY - C K SONG MD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5401 N KNOXVILLE AVE STE 217 PEORIA, IL 61614
Location Phone
(309) 691-1092
Mailing Address
5401 N KNOXVILLE AVE STE 209 PEORIA, IL 61614
Mailing Phone
(309) 691-1092
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-04-2008
Last Update Date
12-04-2008
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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 Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

DENISE BRINKER

Authorized Official Title
SYSTEM ANALYST
Authorized Official Phone
(390) 689-6089

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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 1720223837, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 2 → 4 2 → 4 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 4 + 2 + 6 + 8 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1720223837.

Other Providers at the Same Location


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

Internal Medicine
5401 N KNOXVILLE AVE, SUITE 306
PEORIA, IL 61614
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, STE 212
PEORIA, IL 61614
Family Medicine
5401 N KNOXVILLE AVE, SUITE 412
PEORIA, IL 61614
Clinical Neuropsychologist
5401 N KNOXVILLE AVE, SUITE 217
PEORIA, IL 61614
Family Medicine
5401 N KNOXVILLE AVE, SUITE 400
PEORIA, IL 61614
Obstetrics & Gynecology
5401 N KNOXVILLE AVE, SUITE 208
PEORIA, IL 61614
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Psychiatry & Neurology (Neurology)
5401 N KNOXVILLE AVE, SUITE 414
PEORIA, IL 61614
Internal Medicine (Pulmonary Disease)
5401 N KNOXVILLE AVE, SUITE 203
PEORIA, IL 61614
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614
Clinic/Center (Rehabilitation)
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Clinic/Center (Primary Care)
5401 N KNOXVILLE AVE, SUITE 300
PEORIA, IL 61614
Family Medicine
5401 N KNOXVILLE AVE, SUITE 209
PEORIA, IL 61614
Orthopaedic Surgery
5401 N KNOXVILLE AVE, SUITE 400
PEORIA, IL 61614
Orthopaedic Surgery
5401 N KNOXVILLE AVE, SUITE 400
PEORIA, IL 61614
Nurse Practitioner
5401 N KNOXVILLE AVE, SUITE 119
PEORIA, IL 61614
Surgery
5401 N KNOXVILLE AVE, SUITE 217
PEORIA, IL 61614
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Obstetrics & Gynecology
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Internal Medicine
5401 N KNOXVILLE AVE, SUITE 114
PEORIA, IL 61614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720223837, enumerated as an "organization" on December 04, 2008.

The provider is located at 5401 N KNOXVILLE AVE STE 217 PEORIA, IL 61614 and the phone number is (309) 691-1092.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.