PACIFIC PROSTHETICS AND ORTHOTICS, LLC
NPI 1316018583
Prosthetic/Orthotic Supplier in Burien, WA

NPI Status: Active since November 10, 2006

Contact Information

322 SW 155TH ST
SUITE C
BURIEN, WA
ZIP 98166
Phone: (206) 246-8910
Fax: (206) 242-0165

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Accepts Insurance

About PACIFIC PROSTHETICS AND ORTHOTICS, LLC

This page provides the complete NPI Profile along with additional information for Pacific Prosthetics And Orthotics, Llc, a provider established in Burien, Washington operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1316018583 assigned on November 2006. The practitioner's primary taxonomy code is 335E00000X with license number PS000000555555 (WA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Raymond M Frieszell Cpo (Owner)

NPI
1316018583
Provider Name
PACIFIC PROSTHETICS AND ORTHOTICS, LLC
Entity Type
Organization
Location Address
322 SW 155TH ST SUITE C BURIEN, WA 98166
Location Phone
(206) 246-8910
Location Fax
(206) 242-0165
Mailing Address
408 64TH AVENUE CT E TACOMA, WA 98424
Mailing Phone
(206) 246-8910
Mailing Fax
(206) 242-0165
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2006
Last Update Date
10-29-2009
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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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
PS000000555555
License State
WA
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

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.

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.

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

MR. RAYMOND M FRIESZELL CPO

Authorized Official Title
OWNER
Authorized Official Phone
(206) 246-8910

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
9049644MEDICAID (05)WA 
1316960001MEDICARE ID-TYPE UNSPECIFIED (04)WA 
139008OTHER (01)WALABOR AND INDUSTRIES
2020PAOTHER (01)WAREGENCE BLUE SHIELD

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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.
1316018583
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23260116516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 0 + 1 + 1 + 6 + 5 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1316018583 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578294179J KIM & M CERVANTES-KIM DDS PLLC
Organization
Clinic/Center (Dental)322 SW 155TH ST
BURIEN, WA 98166
(206) 243-7811

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316018583, enumerated in the NPI registry as an "organization" on November 10, 2006

The provider is located at 322 Sw 155th St Suite C Burien, Wa 98166 and the phone number is (206) 246-8910

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

The provider might be accepting Accepts: PacificSource Health Plans, Medicare, Medicaid and. 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 November 10, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.