LAKE GROVE FAMILY MEDICAL CLINIC LLC
NPI 1366982258
Clinic/Center - Primary Care in Lake Oswego, OR
NPI Status: Active since February 27, 2017
Contact Information
16463 BOONES FERRY RD
SUITE 100
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 635-1350
Fax: (503) 635-8470
- Organization
- Clinic/Center
- Primary Care
- Accepts Insurance
About LAKE GROVE FAMILY MEDICAL CLINIC LLC
This page provides the complete NPI Profile along with additional information for Lake Grove Family Medical Clinic Llc, a primary care provider established in Lake Oswego, Oregon operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1366982258 assigned on February 2017. The practitioner's primary taxonomy code is 261QP2300X with license number DO14260 (OR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Shannon K Sabins (Assistant Clinic Manager)
- NPI
- 1366982258
- Provider Name
- LAKE GROVE FAMILY MEDICAL CLINIC LLC
- Entity Type
- Organization
- Location Address
- 16463 BOONES FERRY RD SUITE 100 LAKE OSWEGO, OR 97035
- Location Phone
- (503) 635-1350
- Location Fax
- (503) 635-8470
- Mailing Address
- 16463 BOONES FERRY RD SUITE 100 LAKE OSWEGO, OR 97035
- Mailing Phone
- (503) 635-1350
- Mailing Fax
- (503) 635-8470
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2017
- Last Update Date
- 11-03-2020
- Code Navigator
A primary care provider (PCP) like Lake Grove Family Medical Clinic Llc 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
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- DO14260
- License State
- OR
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) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 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
- Silver 6200 Individual and Family Network - EPO
- Silver 6200 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 | 6 | 6 | 9 | 8 | 2 | 2 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 18 | 8 | 4 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 8 + 8 + 4 + 2 + 1 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1366982258 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1720069529 | DR. LAUREN MARLENE GEARHART MD Individual | Internal Medicine | 16463 BOONES FERRY RD LAKE OSWEGO, OR 97035 (503) 635-6256 |
| 1871529719 | ALVAN W PANG M.D. Individual | Pediatrics | 16463 BOONES FERRY RD LAKE OSWEGO, OR 97035 (503) 635-3743 |
| 1922034826 | JEFFREY E HOFFMAN M.D. Individual | Pediatrics | 16463 BOONES FERRY RD LAKE OSWEGO, OR 97035 (503) 635-3743 |
| 1992841555 | MRS. JANICE CAROLE MODESITT L.M.T. Individual | Specialist | 16463 BOONES FERRY RD LAKE OSWEGO, OR 97035 (503) 699-2955 |
| 1295978732 | STEVEN A. HASHIGUCHI, MD, LLC Organization | Internal Medicine | 16463 BOONES FERRY RD #300 LAKE OSWEGO, OR 97035 (503) 635-6256 |
| 1619273844 | NORTHWEST ENDOCRINOLOGY, LLC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 16463 BOONES FERRY RD SUITE 300 LAKE OSWEGO, OR 97035 (503) 303-8377 |
| 1639438419 | JANICE MODESITT LMT Organization | Clinic/Center | 16463 BOONES FERRY RD STE. 100 LAKE OSWEGO, OR 97035 (503) 699-2955 |
| 1558505032 | ELIZABETH GRAFF M.D. Individual | Pediatrics | 16463 BOONES FERRY RD SUITE 400 LAKE OSWEGO, OR 97035 (503) 635-3743 |
| 1588902902 | OLSON PEDIATRIC CLINIC, LLC Organization | Pediatrics (Adolescent Medicine) | 16463 BOONES FERRY RD SUITE 400 LAKE OSWEGO, OR 97035 (503) 635-3743 |
| 1477596732 | BRIAN K KITTAMS M.D. Individual | Pediatrics | 16463 BOONES FERRY RD LAKE OSWEGO, OR 97035 (503) 635-3743 |
| 1528429198 | THE RHYTHM CLINIC LLC Organization | Internal Medicine (Cardiovascular Disease) | 16463 BOONES FERRY RD LAKE OSWEGO, OR 97035 (503) 635-6256 |
| 1801831847 | DONALD PALMER M.D. Individual | Pediatrics | 16463 BOONES FERRY RD LAKE OSWEGO, OR 97035 (503) 635-3743 |
| 1720787203 | MRS. SUSAN MERIE COLEMER A-GNP-C Individual | Nurse Practitioner | 16463 BOONES FERRY RD LAKE OSWEGO, OR 97035 (541) 748-9634 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366982258, enumerated in the NPI registry as an "organization" on February 27, 2017
The provider is located at 16463 Boones Ferry Rd Suite 100 Lake Oswego, Or 97035 and the phone number is (503) 635-1350
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
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 February 27, 2017. 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.