NORTHWEST EXTREMITY SPECIALISTS LLC
NPI 1124603055
Clinic/Center - Podiatric in Portland, OR

NPI Status: Active since March 11, 2021

Contact Information

12658 SE STARK ST BLDG H
PORTLAND, OR
ZIP 97233
Phone: (503) 221-1581
Fax: (503) 221-1582

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  • Organization
  • Clinic/Center
  • Podiatric

About NORTHWEST EXTREMITY SPECIALISTS LLC

This page provides the complete NPI Profile along with additional information for Northwest Extremity Specialists Llc, a provider established in Portland, Oregon operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1124603055 assigned on March 2021. The practitioner's primary taxonomy code is 261QP1100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Thomas Charles Melillo Dpm (Owner)

NPI
1124603055
Provider Name
NORTHWEST EXTREMITY SPECIALISTS LLC
Entity Type
Organization
Location Address
12658 SE STARK ST BLDG H PORTLAND, OR 97233
Location Phone
(503) 221-1581
Location Fax
(503) 221-1582
Mailing Address
9115 SW OLESON RD STE 205 TIGARD, OR 97223
Mailing Phone
(503) 245-2420
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-11-2021
Last Update Date
03-11-2021
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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 Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities

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

THOMAS CHARLES MELILLO DPM

Authorized Official Title
OWNER
Authorized Official Phone
(503) 245-2420

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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.
1124603055
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21441206010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 2 + 0 + 6 + 0 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1124603055 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124603055, enumerated in the NPI registry as an "organization" on March 11, 2021

The provider is located at 12658 Se Stark St Bldg H Portland, Or 97233 and the phone number is (503) 221-1581

This medical organization specializes in Clinic/Center with taxonomy code 261QP1100X with a focus in Podiatric

This NPI record was last updated on March 11, 2021. 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.