LOURDES 14TH AVENUE MEDICAL GROUP
NPI 1093006447
Family Medicine in Pasco, WA

NPI Status: Active since April 20, 2011

Contact Information

1200 N 14TH AVE
PASCO, WA
ZIP 99301
Phone: (509) 547-7704

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  • Organization
  • Family Medicine

About LOURDES 14TH AVENUE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Lourdes 14th Avenue Medical Group, a primary care provider established in Pasco, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1093006447 assigned on April 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Lourdes 14th Avenue Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lourdes 14th Avenue Medical Group. The authorized official of this NPI record is John Serle (Ceo)

NPI
1093006447
Provider Legal Name
OUR LADY OF LOURDES HEALTH CENTER
Other Organization Name
LOURDES 14TH AVENUE MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1200 N 14TH AVE PASCO, WA 99301
Location Phone
(509) 547-7704
Mailing Address
1200 N 14TH AVE PASCO, WA 99301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2011
Last Update Date
04-20-2011
Code Navigator

A primary care provider (PCP) like Lourdes 14th Avenue Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

JOHN SERLE

Authorized Official Title
CEO
Authorized Official Phone
(509) 543-2483

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093006447
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183001248
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 0 + 1 + 2 + 4 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1093006447 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396719928 VALIANT W S CHOU MD
Individual
Obstetrics & Gynecology1200 N 14TH AVE #255
PASCO, WA 99301
(509) 547-7536
1922064252 ALFRED MONTEILH JR. MD
Individual
Surgery (Plastic and Reconstructive Surgery)1200 N 14TH AVE #240
PASCO, WA 99301
(509) 547-0675
162902837814TH AVENUE PHARMACY INC.
Organization
Pharmacy (Community/Retail Pharmacy)1200 N 14TH AVE SUITE 100
PASCO, WA 99301
(509) 547-8360
1326098310DR. ENRIQUE DELANO CARTER M.D.
Individual
Specialist1200 N 14TH AVE SUITE 300 C
PASCO, WA 99301
(509) 545-0210
1053362715MRS. PATRICIA R FUHRMAN PAC
Individual
Specialist1200 N 14TH AVE SUITE 300A
PASCO, WA 99301
(509) 545-0210
1083621387 JEFFREY MARKLE M.D.
Individual
Internal Medicine1200 N 14TH AVE STE. 300D
PASCO, WA 99301
(509) 545-1492
171009160814TH AVENUE PHARMACY INC
Organization
Pharmacy (Community/Retail Pharmacy)1200 N 14TH AVE STE 100
PASCO, WA 99301
(509) 547-8360
1891807053 GREGORY ALLEN CARL MD
Individual
Otolaryngology1200 N 14TH AVE STE 220
PASCO, WA 99301
(509) 545-4800
1316016579MRS. SUSAN POWERS BRAIN A.R.N.P.
Individual
Nurse Practitioner1200 N 14TH AVE SUITE 245
PASCO, WA 99301
(509) 547-9521
1528137759DR. WALTER THOMAS COOPER III M.D.
Individual
Family Medicine1200 N 14TH AVE SUITE 245
PASCO, WA 99301
(509) 547-9521
1255515862W THOMAS COOPER, MD PS
Organization
General Practice1200 N 14TH AVE SUITE 245
PASCO, WA 99301
(509) 547-9521
1518267129OUR LADY OF LOURDES HEALTH CENTER
Organization
Surgery1200 N 14TH AVE SUITE 400
PASCO, WA 99301
(509) 547-0027
1104103175 DONNA DOYLE RPH
Individual
Pharmacist1200 N 14TH AVE
PASCO, WA 99301
(509) 547-1220
1952358954 STEPHEN LLOYD SMITH M.D.
Individual
Family Medicine1200 N 14TH AVE SUITE 245
PASCO, WA 99301
(509) 943-2101
1164539425 THOMAS KEVIN WESTHUSING D.O.
Individual
Family Medicine1200 N 14TH AVE SUITE 400
PASCO, WA 99301
(509) 545-6220
143719354714TH AVENUE PHARMACY INC.
Organization
Pharmacy (Community/Retail Pharmacy)1200 N 14TH AVE
PASCO, WA 99301
(509) 547-8360
1942202635DR. TERRY LEE WIGLEY MD
Individual
Otolaryngology1200 N 14TH AVE SUITE 350
PASCO, WA 99301
(509) 545-4800
1093145344 ALLISON MAE WEBB PHARMD
Individual
Pharmacist1200 N 14TH AVE SUITE 100
PASCO, WA 99301
(509) 547-1220
1063842185 COY HOOPER RPH
Individual
Pharmacist1200 N 14TH AVE SUITE 100
PASCO, WA 99301
(509) 547-1220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093006447, enumerated in the NPI registry as an "organization" on April 20, 2011

The provider is located at 1200 N 14th Ave Pasco, Wa 99301 and the phone number is (509) 547-7704

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on April 20, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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