PASSAVANT PHYSICIAN ASSOCIATION
PASSAVANT PHYSICIAN ASSOCIATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1962689307, based in Jacksonville, IL. The organization lists 9 taxonomy classifications, with Multi-Specialty Clinic/Center recorded as primary.
Getting there
The practice address on file is 1600 W WALNUT ST, Jacksonville, IL 62650. 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
| Licence | State | Specialty |
|---|---|---|
| 036048526 | IL | Obstetrics Physician |
| 036057937 | IL | Otolaryngology Physician |
This provider holds licence 036048526 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
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 Multi-Specialty covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QM1300X
All registered taxonomy codes
This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | — | primary |
| 207Q00000X | Family Medicine Physician | — | — | |
| 208600000X | Surgery Physician | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207VX0000X | Obstetrics Physician Obstetrics | 036048526 | IL | |
| 207Y00000X | Otolaryngology Physician | 036057937 | IL | |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Undersea and Hyperbaric Medicine | — | — | |
| 231H00000X | Audiologist | — | — | |
| 363LA2200X | Adult Health Nurse Practitioner Adult Health | — | — |
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 | 1962689307 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 29, 2008 |
| Last updated | Mar 21, 2018 |
| Status | Active |
| Practice address |
1600 W WALNUT ST Jacksonville, IL 62650 (217) 479-5890 Fax (217) 243-2206 |
| Other identifiers |
6932023
· BCBS (IL) DH1383 · RAILROAD PTAN (IL) IL2621 · 2ND LOCATION MEDICARE PIN # (IL) |
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 | 9 | 6 | 2 | 6 | 8 | 9 | 3 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 3 | 2 | 3 | 8 | 9 | 3 | 0 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
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.