LOWER COLUMBIA HEAD & NECK ASSOCIATES PC
NPI 1215150313
Oral & Maxillofacial Surgery in Longview, WA
NPI Status: Active since April 10, 2007
Contact Information
820 11TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 423-0960
Fax: (360) 423-8902
- Organization
- Oral & Maxillofacial Surgery
About LOWER COLUMBIA HEAD & NECK ASSOCIATES PC
This page provides the complete NPI Profile along with additional information for Lower Columbia Head & Neck Associates Pc, a provider established in Longview, Washington operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1215150313 assigned on April 2007. The practitioner's primary taxonomy code is 204E00000X with license number MD00022010 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Lower Columbia Head & Neck Associates Pc 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 Alexander P Ierokomos Md (President)
- NPI
- 1215150313
- Provider Name
- LOWER COLUMBIA HEAD & NECK ASSOCIATES PC
- Entity Type
- Organization
- Location Address
- 820 11TH AVE LONGVIEW, WA 98632
- Location Phone
- (360) 423-0960
- Location Fax
- (360) 423-8902
- Mailing Address
- 820 11TH AVE LONGVIEW, WA 98632
- Mailing Phone
- (360) 423-0960
- Mailing Fax
- (360) 423-8902
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2007
- Last Update Date
- 08-22-2020
- 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
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00022010
- License State
- WA
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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) |
|---|
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.
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 |
|---|---|---|---|
| 60170 | OTHER (01) | WA | L&I |
| 7032030 | MEDICAID (05) | WA |
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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 | 2 | 1 | 5 | 1 | 5 | 0 | 3 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 2 | 5 | 0 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 2 + 5 + 0 + 3 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1215150313 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912947722 | SUSAN K HEALEA MA-CCCA Individual | Audiologist | 820 11TH AVE LONGVIEW, WA 98632 (360) 423-0960 |
| 1710927553 | LOWER COLUMBIA AMBULATORY SURGERY CENTER Organization | Clinic/Center (Ambulatory Surgical) | 820 11TH AVE LONGVIEW, WA 98632 (360) 423-0960 |
| 1154571982 | LONGVIEW CLINIC INC Organization | Internal Medicine | 820 11TH AVE LONGVIEW, WA 98632 (360) 423-6626 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215150313, enumerated in the NPI registry as an "organization" on April 10, 2007
The provider is located at 820 11th Ave Longview, Wa 98632 and the phone number is (360) 423-0960
This medical organization specializes in Oral & Maxillofacial Surgery with taxonomy code 204E00000X
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 10, 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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