MARY A EGSIEKER MD
NPI 1336141720
Pediatrics in Gresham, OR
NPI Status: Active since August 15, 2005
Contact Information
24988 SE STARK ST
STE 200
GRESHAM, OR
ZIP 97030
Phone: (503) 667-8878
Fax: (503) 667-0310
- Individual
- Female
- Pediatrics
- Accepts Insurance
About MARY EGSIEKER
This page provides the complete NPI Profile along with additional information for Mary Egsieker, a pediatrician established in Gresham, Oregon with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1336141720 assigned on August 2005. The practitioner's primary taxonomy code is 208000000X with license number MD24342 (OR). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1336141720
- Provider Name
- MARY A EGSIEKER MD
- Other Name
- MARY A BAGDANOFF MD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 24988 SE STARK ST STE 200 GRESHAM, OR 97030
- Location Phone
- (503) 667-8878
- Location Fax
- (503) 667-0310
- Mailing Address
- 24988 SE STARK ST STE 200 GRESHAM, OR 97030
- Mailing Phone
- (503) 667-8878
- Mailing Fax
- (503) 667-0310
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-15-2005
- Last Update Date
- 03-04-2014
- Code Navigator
A pediatrician like Mary Egsieker is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD24342
- License State
- OR
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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
- 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
- Connect 1500 Gold - EPO
- Connect 5000 Silver - EPO
- Connect 9200 Bronze - EPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - 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
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - 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 |
|---|---|---|---|
| 227365 | MEDICAID (05) | OR | |
| H98100 | MEDICARE UPIN (02) | ||
| 117205 | MEDICARE ID-TYPE UNSPECIFIED (04) | OR |
Reviews for MARY A EGSIEKER MD
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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 | 3 | 3 | 6 | 1 | 4 | 1 | 7 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 4 | 2 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 4 + 2 + 7 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336141720 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023000387 | DR. KATHRYN L HUYSSOON MD Individual | Internal Medicine | 24988 SE STARK ST STE 300 GRESHAM, OR 97030 (503) 674-5818 |
| 1235103276 | DR. GORDON JOHNSON MD Individual | Hospitalist | 24988 SE STARK ST GRESHAM, OR 97030 (503) 331-2376 |
| 1336108208 | DR. MICHELLE L JOHN M.D. Individual | Internal Medicine | 24988 SE STARK ST SUITE 220 GRESHAM, OR 97030 (503) 674-1580 |
| 1407066764 | DR. METTA ELIZABETH KOHN WILLEY MD Individual | Pediatrics | 24988 SE STARK ST SUITE 200 GRESHAM, OR 97030 (503) 667-8878 |
| 1508060849 | DR. LORI ANN ANDERSON MD Individual | Pediatrics | 24988 SE STARK ST SUITE 200 GRESHAM, OR 97030 (503) 667-8878 |
| 1063738128 | AURA THERESA BONDOC DE OLAZO M.D. Individual | Internal Medicine | 24988 SE STARK ST MOB 3 SUITE 220 GRESHAM, OR 97030 (503) 674-1580 |
| 1710120845 | DR. JENNY LARA SEMADENI MALCOM MD Individual | Pediatrics | 24988 SE STARK ST SUITE 200 GRESHAM, OR 97030 (503) 667-8878 |
| 1477555860 | PETER R GYERKO MD Individual | Pediatrics | 24988 SE STARK ST SUITE 200 GRESHAM, OR 97030 (503) 667-8878 |
| 1356469902 | DR. TED HUANG M.D. Individual | Internal Medicine (Hematology & Oncology) | 24988 SE STARK ST SUITE 140 GRESHAM, OR 97030 (503) 661-1112 |
| 1790777050 | DR. FAYYAZ MAHMOOD MD Individual | Internal Medicine | 24988 SE STARK ST STE 300 GRESHAM, OR 97030 (503) 674-5818 |
| 1851461990 | DR. MISCHELLE MCMILLAN MD Individual | Internal Medicine | 24988 SE STARK ST #220 GRESHAM, OR 97030 (503) 674-1580 |
| 1558354522 | MTH CLINIC PC Organization | Internal Medicine | 24988 SE STARK ST STE 300 GRESHAM, OR 97030 (503) 674-5818 |
| 1952858300 | LOAN DUONG PA-C Individual | Physician Assistant | 24988 SE STARK ST GRESHAM, OR 97030 (503) 413-5702 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336141720, enumerated in the NPI registry as an "individual" on August 15, 2005
The provider is located at 24988 Se Stark St Ste 200 Gresham, Or 97030 and the phone number is (503) 667-8878
The provider's speciality is Pediatrics with taxonomy code 208000000X
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.
This NPI record was last updated on August 15, 2005. 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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