PASSAVANT PHYSICIAN ASSOCIATION
NPI 1962689307
Clinic/Center - Multi-Specialty in Jacksonville, IL
NPI Status: Active since January 29, 2008
Contact Information
1600 W WALNUT ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 479-5890
Fax: (217) 243-2206
- Organization
- Clinic/Center
- Multi-Specialty
About PASSAVANT PHYSICIAN ASSOCIATION
This page provides the complete NPI Profile along with additional information for Passavant Physician Association, a provider established in Jacksonville, Illinois operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1962689307 assigned on January 2008. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Passavant Physician Association 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 Mrs. Wendi D Graham (Practice Plan Administrator)
- NPI
- 1962689307
- Provider Name
- PASSAVANT PHYSICIAN ASSOCIATION
- Entity Type
- Organization
- Location Address
- 1600 W WALNUT ST JACKSONVILLE, IL 62650
- Location Phone
- (217) 479-5890
- Location Fax
- (217) 243-2206
- Mailing Address
- 1600 W WALNUT ST JACKSONVILLE, IL 62650
- Mailing Phone
- (217) 479-5890
- Mailing Fax
- (217) 243-2206
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-29-2008
- Last Update Date
- 03-21-2018
- Code Navigator
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207VX0000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 036048526 (IL) |
| 4 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | 036057937 (IL) |
| 5 | 2083P0011X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 6 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 7 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | |
| 8 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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 |
|---|---|---|---|
| DH1383 | OTHER (01) | IL | RAILROAD PTAN |
| IL2621 | OTHER (01) | IL | 2ND LOCATION MEDICARE PIN # |
| 6932023 | OTHER (01) | IL | BCBS |
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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 1962689307, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSONVILLE, IL 62650
JACKSONVILLE, IL 62650
JACKSONVILLE, IL 62650
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962689307, enumerated as an "organization" on January 29, 2008.
The provider is located at 1600 W WALNUT ST JACKSONVILLE, IL 62650 and the phone number is (217) 479-5890.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
