BROAD ENTERPRISES, INC.
NPI 1861770182
Physician Assistant - Surgical in Oak Lawn, IL

NPI Status: Active since August 03, 2011

Contact Information

4440 W 95TH ST
ADVOCATE MEDICAL GROUP - SURGICAL PARTNERS
OAK LAWN, IL
ZIP 60453
Phone: (312) 731-4949

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  • Organization
  • Physician Assistant
  • Surgical

About BROAD ENTERPRISES, INC.

This page provides the complete NPI Profile along with additional information for Broad Enterprises, Inc., a provider established in Oak Lawn, Illinois operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1861770182 assigned on August 2011. The practitioner's primary taxonomy code is 363AS0400X with license number 238.000220 (IL). The provider is registered as an organization and their NPI record was last updated 15 years ago. Broad Enterprises, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Broad Enterprises, Inc.. The authorized official of this NPI record is Dr. Yaser A Maksoud M.d. (President And Ceo)

NPI
1861770182
Provider Legal Name
SURGICAL PARTNERS
Other Organization Name
BROAD ENTERPRISES, INC.
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4440 W 95TH ST ADVOCATE MEDICAL GROUP - SURGICAL PARTNERS OAK LAWN, IL 60453
Location Phone
(312) 731-4949
Mailing Address
PO BOX 437 SURGICAL PARTNERS CHICAGO RIDGE, IL 60415
Mailing Phone
(312) 731-4949
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2011
Last Update Date
08-03-2011
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
238.000220
License State
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. YASER A MAKSOUD M.D.

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(312) 731-4949

Reviews for BROAD ENTERPRISES, INC.

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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 1861770182, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 6 → 12 → 3 7 → 14 → 5 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 4 + 7 + 0 + 1 + 1 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1861770182.

Other Providers at the Same Location


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

Pediatrics (Pediatric Gastroenterology)
4440 W 95TH ST
OAK LAWN, IL 60453
Internal Medicine (Infectious Disease)
4440 W 95TH ST
OAK LAWN, IL 60453
Physical Medicine & Rehabilitation
4440 W 95TH ST, EMG LAB, ROOM 042 SOUTH
OAK LAWN, IL 60453
Pediatrics (Pediatric Cardiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Pediatrics (Pediatric Cardiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Radiation Oncology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Radiation Oncology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Radiation Oncology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Radiation Oncology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453
Radiology (Diagnostic Radiology)
4440 W 95TH ST
OAK LAWN, IL 60453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861770182, enumerated as an "organization" on August 03, 2011.

The provider is located at 4440 W 95TH ST ADVOCATE MEDICAL GROUP - SURGICAL PARTNERS OAK LAWN, IL 60453 and the phone number is (312) 731-4949.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.