PPS PROVIDENCE FAMILY MEDICINE INDIAN TRAIL
NPI 1184915829
Family Medicine in Seattle, WA
NPI Status: Active since April 28, 2011
Contact Information
5011 W. LOWELL AVE
SEATTLE, WA
ZIP 99208
Phone: (509) 484-8069
- Organization
- Family Medicine
- CLIA Number: 50D1080479
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About PPS PROVIDENCE FAMILY MEDICINE INDIAN TRAIL
This page provides the complete NPI Profile along with additional information for Pps Providence Family Medicine Indian Trail, a primary care provider established in Seattle, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1184915829 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. Pps Providence Family Medicine Indian Trail 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 Pps Providence Family Medicine Indian Trail. The authorized official of this NPI record is Mr. Michael J Mallory (Credentialing Specialist)
- NPI
- 1184915829
- Provider Legal Name
- PROVIDENCE PHYSICIAN SERVICES CO
- Other Organization Name
- PPS PROVIDENCE FAMILY MEDICINE INDIAN TRAIL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5011 W. LOWELL AVE SEATTLE, WA 99208
- Location Phone
- (509) 484-8069
- Mailing Address
- PO BOX 34439 SEATTLE, WA 98124
- Mailing Phone
- (425) 525-6798
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-28-2011
- Last Update Date
- 04-28-2011
- Code Navigator
A primary care provider (PCP) like Pps Providence Family Medicine Indian Trail 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D1080479
- Facility Type
- Physician Office
- Certificate Effective Date
- July 20, 2022
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- LEDEL JAN RAMOS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pps Providence Family Medicine Indian Trail to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 8 | 4 | 9 | 1 | 5 | 8 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 18 | 1 | 10 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 8 + 1 + 1 + 0 + 8 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1184915829 is valid because the calculated check digit 9 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 1184915829, enumerated in the NPI registry as an "organization" on April 28, 2011
The provider is located at 5011 W. Lowell Ave Seattle, Wa 99208 and the phone number is (509) 484-8069
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 50D1080479 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 28, 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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