PROVIDENCE HOSPITALISTS EAST
NPI 1134240021
Clinic/Center in Portland, OR
NPI Status: Active since April 02, 2007
Contact Information
4805 NE GLISAN ST
SUITE BG05
PORTLAND, OR
ZIP 97213
Phone: (503) 215-2392
- Organization
- Clinic/Center
About PROVIDENCE HOSPITALISTS EAST
This page provides the complete NPI Profile along with additional information for Providence Hospitalists East, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1134240021 assigned on April 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Providence Hospitalists East. The authorized official of this NPI record is William Olson (Chief Finance Officer)
- NPI
- 1134240021
- Provider Legal Name
- PROVIDENCE PORTLAND MEDICAL CENTER
- Other Organization Name
- PROVIDENCE HOSPITALISTS EAST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4805 NE GLISAN ST SUITE BG05 PORTLAND, OR 97213
- Location Phone
- (503) 215-2392
- Mailing Address
- PO BOX 3178 PORTLAND, OR 97208
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-02-2007
- Last Update Date
- 10-30-2007
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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 |
|---|---|---|---|
| 286612 | MEDICAID (05) | OR | |
| 111652 | MEDICARE PIN (08) | OR |
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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. | |||||||||
| 1 | 1 | 3 | 4 | 2 | 4 | 0 | 0 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 4 | 4 | 0 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 4 + 4 + 0 + 0 + 4 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1134240021 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1831187657 | DR. CHRISTOPHER MICHAEL BARONE Individual | Internal Medicine | 4805 NE GLISAN ST SUITE BG05 PORTLAND, OR 97213 (503) 215-2392 |
| 1336130806 | TODD SHANE CROCENZI M.D. Individual | Internal Medicine (Medical Oncology) | 4805 NE GLISAN ST 6N40 PORTLAND, OR 97213 (503) 215-5696 |
| 1316977903 | SHARON D KENNEDY NP Individual | Registered Nurse (General Practice) | 4805 NE GLISAN ST 3E PORTLAND, OR 97213 (503) 215-6494 |
| 1770513368 | REBECCA E CHANDLER MD Individual | Internal Medicine | 4805 NE GLISAN ST SUITE BG05 PORTLAND, OR 97213 (503) 215-2392 |
| 1497785786 | MICHAEL J CLAYTON MD Individual | Internal Medicine | 4805 NE GLISAN ST SUITE BG05 PORTLAND, OR 97213 (503) 215-2392 |
| 1336179274 | JAMES STUART MORGAN MD Individual | Internal Medicine | 4805 NE GLISAN ST BG05 PORTLAND, OR 97213 (503) 215-2392 |
| 1346272770 | NANCY A PHILLIPS MD Individual | Psychiatry & Neurology (Psychiatry) | 4805 NE GLISAN ST 5L PORTLAND, OR 97213 (503) 215-7669 |
| 1144255175 | VICKI COLLISTER ANP Individual | Registered Nurse | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 215-4620 |
| 1497760300 | EUGENE BORKAN, MD, PC Organization | Psychiatry & Neurology (Psychiatry) | 4805 NE GLISAN ST 3E PORTLAND, OR 97213 (503) 215-6840 |
| 1497767735 | DAWN LANE MARTINEZ F.N.P. Individual | Personal Emergency Response Attendant | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 297-6334 |
| 1851303291 | DENNIS STEPHEN GREY F.N.P. Individual | Nurse Practitioner (Family) | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 297-6334 |
| 1184636482 | MARCIA THERESA LYNCH M.S.N., F.N.P. Individual | Nurse Practitioner (Family) | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 297-6334 |
| 1497862833 | SUZANNE T. BROWN CRNA Individual | Nurse Anesthetist, Certified Registered | 4805 NE GLISAN ST PROVIDENCE PORTLAND MEDICAL CENTER PORTLAND, OR 97213 (503) 942-0977 |
| 1174620942 | LAURA TOPP MAHAR ANP Individual | Nurse Practitioner (Adult Health) | 4805 NE GLISAN ST STE 6N50 PORTLAND, OR 97213 (503) 215-1350 |
| 1588750798 | DR. JAMES E. DUGONI M.D. Individual | Emergency Medicine | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 297-6334 |
| 1932295292 | DR. TIMOTHY WADE LEWIS M.D. Individual | Emergency Medicine | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 297-6334 |
| 1568550671 | DR. GREGORY BYRON LORTS M.D. Individual | Emergency Medicine | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 297-6334 |
| 1013005115 | DR. ROBERT THOMAS MARTIN M.D. Individual | Emergency Medicine | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 297-6334 |
| 1538257696 | DR. DAVID HARRIS PEEL M.D. Individual | Emergency Medicine | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 297-6334 |
| 1043391543 | DR. GREGORY LEE RALSTON M.D. Individual | Emergency Medicine | 4805 NE GLISAN ST PORTLAND, OR 97213 (503) 297-6334 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134240021, enumerated in the NPI registry as an "organization" on April 02, 2007
The provider is located at 4805 Ne Glisan St Suite Bg05 Portland, Or 97213 and the phone number is (503) 215-2392
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
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 April 02, 2007. 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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