KING CITY PHYSICIAN COMPANY, LLC
KING CITY PHYSICIAN COMPANY, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1134470859, based in Mount Vernon, IL. The organization lists 10 taxonomy classifications, with Plastic Surgery within the Head & Neck (Otolaryngology) Physician recorded as primary.
Getting there
The practice address on file is 4117 S WATER TOWER PL SUITE C, Mount Vernon, IL 62864. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Plastic Surgery within the Head & Neck covers
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. NUCC Health Care Provider Taxonomy, code 207YX0007X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician Plastic Surgery within the Head & Neck | — | — | primary |
| 207Q00000X | Family Medicine Physician | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | |
| 2080A0000X | Pediatric Adolescent Medicine Physician Adolescent Medicine | — | — | |
| 208600000X | Surgery Physician | — | — | |
| 208800000X | Urology Physician | — | — | |
| 363A00000X | Physician Assistant | — | — | |
| 363LF0000X | Family Nurse Practitioner Family | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1134470859 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 20, 2012 |
| Last updated | Jul 7, 2023 |
| Status | Active |
| Practice address |
4117 S WATER TOWER PL SUITE C Mount Vernon, IL 62864 (618) 242-0672 Fax (618) 242-0862 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 3 | 4 | 4 | 7 | 0 | 8 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 6 | 4 | 8 | 7 | 0 | 8 | 1 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.