SAMUEL KIRTLEY MD
NPI 1124016548
Family Medicine in Walla Walla, WA

NPI Status: Active since October 10, 2005

Contact Information

55 W TIETAN ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 525-3720
Fax: (509) 522-1592

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  • Individual
  • Male
  • Family Medicine

About SAMUEL KIRTLEY

This page provides the complete NPI Profile along with additional information for Samuel Kirtley, a primary care provider established in Walla Walla, Washington with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1124016548 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X with license number MD00045745 (WA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1124016548
Provider Name
SAMUEL KIRTLEY MD
Gender
Male
Entity Type
Individual
Location Address
55 W TIETAN ST WALLA WALLA, WA 99362
Location Phone
(509) 525-3720
Location Fax
(509) 522-1592
Mailing Address
55 W TIETAN ST WALLA WALLA, WA 99362
Mailing Phone
(509) 525-3720
Mailing Fax
(509) 522-1592
Is Sole Proprietor?
No
Enumeration Date
10-10-2005
Last Update Date
11-28-2007
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A primary care provider (PCP) like Samuel Kirtley 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
License No.
MD00045745
License State
WA
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.

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.

*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
244092MEDICAID (05)OR 
8494080MEDICAID (05)WA 
B29205MEDICARE UPIN (02)WA 
G8867027MEDICARE PIN (08)WA 
0223882OTHER (01)WAL&I

Reviews for SAMUEL KIRTLEY MD

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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.
1124016548
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144011258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 1 + 2 + 5 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1124016548 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598739716DR. THEODORE J BERGSTROM M.D.
Individual
Pediatrics55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1275507485DR. ERIC M BALL M.D.
Individual
Internal Medicine55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1881668010DR. DAN S GRINSTEAD M.D.
Individual
Internal Medicine55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1508830738DR. CHRISTOPHER P HALL M.D.
Individual
Pediatrics55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1235103466DR. ERIC J JAUHIAINEN M.D.
Individual
Internal Medicine55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1811961832DR. LAWRENCE S ZAWATZKY M.D.
Individual
Internal Medicine (Gastroenterology)55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1427022573DR. JOANNE M SCHMITZ M.D.
Individual
Radiology (Diagnostic Radiology)55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1497729545DR. LUISA S SCHOLAR M.D.
Individual
Family Medicine55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1881668887DR. ROBERT W CARMODY M.D.
Individual
Family Medicine55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1316911449DR. ERIK C GRYLER M.D.
Individual
Orthopaedic Surgery55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1396719456DR. JEFFREY C STILES M.D.
Individual
Dermatology55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1871567941DR. WILLIAM D WAGNER D.O.
Individual
Family Medicine55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1508830423 KENNETH V BUSBY B.S. / B.A.
Individual
Physician Assistant55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1689648594DR. PATRICIA M MCILVAINE M.D.
Individual
Internal Medicine55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1447224571DR. ALISON E KIRBY M.D.
Individual
Pediatrics55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1881668655DR. MICHAEL J WILCOX M.D.
Individual
Internal Medicine55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1245204007DR. JOHN G SISLOW M.D.
Individual
Urology55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1720052426 JENNIFER E SMITH A.R.N.P.
Individual
Nurse Practitioner (Adult Health)55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1396869798 RYAN TODD CORNIA DPM
Individual
Podiatrist55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720
1659580694 MARY J LEMM DAVIS RD
Individual
Dietitian, Registered55 W TIETAN ST
WALLA WALLA, WA 99362
(509) 525-3720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124016548, enumerated in the NPI registry as an "individual" on October 10, 2005

The provider is located at 55 W Tietan St Walla Walla, Wa 99362 and the phone number is (509) 525-3720

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 10, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.