LAKE WOUND CLINIC-KLAMATH FALLS
NPI 1134388713
Specialist in Klamath Falls, OR

NPI Status: Active since June 09, 2008

Contact Information

2850 DAGGETT AVE
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 517-5169
Fax: (541) 273-1147

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  • Organization
  • Specialist

About LAKE WOUND CLINIC-KLAMATH FALLS

This page provides the complete NPI Profile along with additional information for Lake Wound Clinic-klamath Falls, a provider established in Klamath Falls, Oregon operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1134388713 assigned on June 2008. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Lake Wound Clinic-klamath Falls operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Cheryl M Bongiovanni Phd (Manager)

NPI
1134388713
Provider Name
LAKE WOUND CLINIC-KLAMATH FALLS
Entity Type
Organization
Location Address
2850 DAGGETT AVE KLAMATH FALLS, OR 97601
Location Phone
(541) 517-5169
Location Fax
(541) 273-1147
Mailing Address
2850 DAGGETT AVE KLAMATH FALLS, OR 97601
Mailing Phone
(541) 517-5169
Mailing Fax
(541) 273-1147
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2008
Last Update Date
06-09-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

N/A (OR)

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

DR. CHERYL M BONGIOVANNI PHD

Authorized Official Title
MANAGER
Authorized Official Phone
(541) 517-5169

Reviews for LAKE WOUND CLINIC-KLAMATH FALLS

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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.
1134388713
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164681672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 6 + 8 + 1 + 6 + 7 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1134388713 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619900891SEAN B DOW MD PC
Organization
Internal Medicine (Pulmonary Disease)2850 DAGGETT AVE
KLAMATH FALLS, OR 97601
(541) 205-6081
1568807253SKY LAKES MEDICAL CENTER, INC
Organization
General Acute Care Hospital2850 DAGGETT AVE
KLAMATH FALLS, OR 97601
(541) 274-8610
1548270036KENNETH L TUTTLE MD PC
Organization
Surgery2850 DAGGETT AVE
KLAMATH FALLS, OR 97601
(541) 882-7251
1962001586 BOBIJO STAFFLER FNP
Individual
Nurse Practitioner2850 DAGGETT AVE
KLAMATH FALLS, OR 97601
(541) 274-8610
1699001073 CHRISTOPHER BARTON M.D.
Individual
Obstetrics & Gynecology2850 DAGGETT AVE
KLAMATH FALLS, OR 97601
(541) 274-8610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134388713, enumerated in the NPI registry as an "organization" on June 09, 2008

The provider is located at 2850 Daggett Ave Klamath Falls, Or 97601 and the phone number is (541) 517-5169

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on June 09, 2008. 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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