SAMARITAN UROLOGY - CORVALLIS
NPI 1235409236
Urology in Corvallis, OR
NPI Status: Active since January 06, 2012
Contact Information
990 NW CIRCLE BLVD SUITE 102
CORVALLIS, OR
ZIP 97330
Phone: (541) 768-5486
Fax: (541) 768-5484
- Organization
- Urology
- Accepts Insurance
- CLIA Number: 38D2003753
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-22-2026
About SAMARITAN UROLOGY - CORVALLIS
This page provides the complete NPI Profile along with additional information for Samaritan Urology - Corvallis, a provider established in Corvallis, Oregon operating as a Urology. The healthcare provider is registered in the NPI registry with number 1235409236 assigned on January 2012. The practitioner's primary taxonomy code is 208800000X with license number 14-1074-1 (OR). The provider is registered as an organization and their NPI record was last updated one year ago. Samaritan Urology - Corvallis 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 Samaritan Urology - Corvallis. The authorized official of this NPI record is Joseph M Cahill Iii (Ceo-gsrmc)
- NPI
- 1235409236
- Provider Legal Name
- GOOD SAMARITAN HOSPITAL CORVALLIS
- Other Organization Name
- SAMARITAN UROLOGY - CORVALLIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 990 NW CIRCLE BLVD SUITE 102 CORVALLIS, OR 97330
- Location Phone
- (541) 768-5486
- Location Fax
- (541) 768-5484
- Mailing Address
- PO BOX 1189 CORVALLIS, OR 97339
- Mailing Phone
- (541) 768-6768
- Mailing Fax
- (541) 768-5484
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-06-2012
- Last Update Date
- 07-31-2024
- 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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 14-1074-1
- License State
- OR
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
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 |
|---|---|---|---|
| 500651453 | MEDICAID (05) | OR |
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
- 38D2003753
- Facility Type
- Physician Office
- Certificate Effective Date
- March 23, 2024
- Certificate Expiration Date
- March 22, 2026
- Laboratory Director
- DR. LAYRON O. LONG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Samaritan Urology - Corvallis 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.
Reviews for SAMARITAN UROLOGY - CORVALLIS
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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 | 3 | 5 | 4 | 0 | 9 | 2 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 8 | 0 | 18 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 8 + 0 + 1 + 8 + 2 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1235409236 is valid because the calculated check digit 6 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 1235409236, enumerated in the NPI registry as an "organization" on January 06, 2012
The provider is located at 990 Nw Circle Blvd Suite 102 Corvallis, Or 97330 and the phone number is (541) 768-5486
This medical organization specializes in Urology with taxonomy code 208800000X
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D2003753 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 January 06, 2012. 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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