OB GYN CARE LLC
NPI 1790945103
Obstetrics & Gynecology in O Fallon, IL

NPI Status: Active since June 10, 2008

Contact Information

1512 N GREEN MOUNT RD
SUITE 107
O FALLON, IL
ZIP 62269
Phone: (618) 628-1717
Fax: (618) 628-1789

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  • Organization
  • Obstetrics & Gynecology

About OB GYN CARE LLC

This page provides the complete NPI Profile along with additional information for Ob Gyn Care Llc, a women's health care provider established in O Fallon, Illinois operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1790945103 assigned on June 2008. The practitioner's primary taxonomy code is 207V00000X with license number 036097979 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. Ob Gyn Care 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 Dr. Bradley J Tissier Md (Member)

NPI
1790945103
Provider Name
OB GYN CARE LLC
Entity Type
Organization
Location Address
1512 N GREEN MOUNT RD SUITE 107 O FALLON, IL 62269
Location Phone
(618) 628-1717
Location Fax
(618) 628-1789
Mailing Address
1512 N GREEN MOUNT RD SUITE 107 O FALLON, IL 62269
Mailing Phone
(618) 628-1717
Mailing Fax
(618) 628-1789
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2008
Last Update Date
06-10-2008
Code Navigator

Women's health care providers like Ob Gyn Care Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
036097979
License State
IL
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

036097979 (IL)

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

DR. BRADLEY J TISSIER MD

Authorized Official Title
MEMBER
Authorized Official Phone
(618) 628-1717

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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 1790945103, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 9 → 18 → 9 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 8 + 4 + 1 + 0 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1790945103.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Emergency Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Orthopaedic Surgery
1512 N GREEN MOUNT RD, SUITE 300
O FALLON, IL 62269
Clinic/Center (Magnetic Resonance Imaging (MRI))
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Clinic/Center (Urgent Care)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Emergency Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Clinical Medical Laboratory
1512 N GREEN MOUNT RD, TRI LAB LLC AT ST ELIZABETHS MEDICAL PARK
O FALLON, IL 62269
Internal Medicine (Geriatric Medicine)
1512 N GREEN MOUNT RD, SUITE 200
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O'FALLON, IL 62269
Preventive Medicine (Occupational Medicine)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Nurse Practitioner (Family)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Nurse Practitioner (Family)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Clinic/Center
1512 N GREEN MOUNT RD, SUITE 200
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790945103, enumerated as an "organization" on June 10, 2008.

The provider is located at 1512 N GREEN MOUNT RD SUITE 107 O FALLON, IL 62269 and the phone number is (618) 628-1717.

Obstetrics & Gynecology with taxonomy code 207V00000X.