SA FREEPORT CLINIC
NPI 1902134281
Internal Medicine - Endocrinology, Diabetes & Metabolism in Freeport, IL

NPI Status: Active since November 25, 2009

Contact Information

1036 W STEPHENSON ST
FREEPORT, IL
ZIP 61032
Phone: (877) 277-6770

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism

About SA FREEPORT CLINIC

This page provides the complete NPI Profile along with additional information for Sa Freeport Clinic, an internist established in Freeport, Illinois operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1902134281 assigned on November 2009. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Sa Freeport Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Sa Freeport Clinic. The authorized official of this NPI record is Don Daniels (Vp)

NPI
1902134281
Provider Legal Name
SWEDISHAMERICAN HOSPITAL
Other Organization Name
SA FREEPORT CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1036 W STEPHENSON ST FREEPORT, IL 61032
Location Phone
(877) 277-6770
Mailing Address
PO BOX 78866 MILWAUKEE, WI 53278
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-25-2009
Last Update Date
07-12-2018
Code Navigator

An internist like Sa Freeport Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

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)
1207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
2208G00000XAllopathic & Osteopathic Physicians

Thoracic Surgery (Cardiothoracic Vascular Surgery)

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DON DANIELS

Authorized Official Title
VP
Authorized Official Phone
(815) 966-2084

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
064OTHER (01)ILTRICARE SUFFIX #

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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 1902134281, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
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 0 → 0 1 → 2 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 2 + 3 + 8 + 2 + 1 + 6 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1902134281.

Other Providers at the Same Location


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

Dermatology
1036 W STEPHENSON ST
FREEPORT, IL 61032
Surgery
1036 W STEPHENSON ST
FREEPORT, IL 61032
Surgery
1036 W STEPHENSON ST
FREEPORT, IL 61032
Durable Medical Equipment & Medical Supplies
1036 W STEPHENSON ST
FREEPORT, IL 61032
Family Medicine
1036 W STEPHENSON ST
FREEPORT, IL 61032
Surgery
1036 W STEPHENSON ST
FREEPORT, IL 61032
Urology
1036 W STEPHENSON ST
FREEPORT, IL 61032
Internal Medicine (Cardiovascular Disease)
1036 W STEPHENSON ST
FREEPORT, IL 61032
Internal Medicine (Cardiovascular Disease)
1036 W STEPHENSON ST
FREEPORT, IL 61032
Internal Medicine (Gastroenterology)
1036 W STEPHENSON ST
FREEPORT, IL 61032
Nurse Practitioner (Family)
1036 W STEPHENSON ST
FREEPORT, IL 61032
Surgery
1036 W STEPHENSON ST
FREEPORT, IL 61032
Otolaryngology
1036 W STEPHENSON ST
FREEPORT, IL 61032
Dermatology
1036 W STEPHENSON ST
FREEPORT, IL 61032
Surgery
1036 W STEPHENSON ST
FREEPORT, IL 61032
Nurse Practitioner (Family)
1036 W STEPHENSON ST
FREEPORT, IL 61032
Nurse Practitioner
1036 W STEPHENSON ST
FREEPORT, IL 61032
Internal Medicine
1036 W STEPHENSON ST
FREEPORT, IL 61032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902134281, enumerated as an "organization" on November 25, 2009.

The provider is located at 1036 W STEPHENSON ST FREEPORT, IL 61032 and the phone number is (877) 277-6770.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

The provider might be accepting Accepts: Tricare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.