EVERGREEN MEDICAL GROUP SAMMAMISH
NPI 1417058694
Family Medicine in Sammamish, WA
NPI Status: Active since September 26, 2006
Contact Information
22850 NE 8TH ST
STE 103
SAMMAMISH, WA
ZIP 98074
Phone: (425) 898-0305
Fax: (425) 898-8825
- Organization
- Family Medicine
About EVERGREEN MEDICAL GROUP SAMMAMISH
This page provides the complete NPI Profile along with additional information for Evergreen Medical Group Sammamish, a primary care provider established in Sammamish, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1417058694 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Evergreen Medical Group Sammamish. The authorized official of this NPI record is Robert Malte (Ceo)
- NPI
- 1417058694
- Provider Legal Name
- PUBLIC HOSPITAL DISTRICT NO 2
- Other Organization Name
- EVERGREEN MEDICAL GROUP SAMMAMISH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 22850 NE 8TH ST STE 103 SAMMAMISH, WA 98074
- Location Phone
- (425) 898-0305
- Location Fax
- (425) 898-8825
- Mailing Address
- PO BOX 34036 SEATTLE, WA 98124
- Mailing Phone
- (425) 899-3292
- Mailing Fax
- (425) 898-8825
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-26-2006
- Last Update Date
- 01-04-2011
- Code Navigator
A primary care provider (PCP) like Evergreen Medical Group Sammamish 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.
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 |
|---|---|---|---|
| 7099849 | MEDICAID (05) | WA | |
| CG8137 | OTHER (01) | WA | MEDICARE RAILROAD |
| CQ2437 | OTHER (01) | WA | MEDICARE RAILROAD |
| CG2833 | OTHER (01) | WA | MEDICARE RAILROAD |
| GAB13874 | MEDICARE PIN (08) | WA | |
| CJ9678 | OTHER (01) | WA | MEDICARE RAILROAD |
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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 | 4 | 1 | 7 | 0 | 5 | 8 | 6 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 0 | 5 | 16 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 0 + 5 + 1 + 6 + 6 + 1 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1417058694 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447232384 | DR. LUBA KIHICHAK MD Individual | Family Medicine | 22850 NE 8TH ST SUITE 103 SAMMAMISH, WA 98074 (425) 898-0305 |
| 1497825673 | COLLEEN MULVIHILL PACEM ARNP Individual | Nurse Practitioner (Family) | 22850 NE 8TH ST SUITE 103 SAMMAMISH, WA 98074 (425) 898-0305 |
| 1255472775 | DR. JAY STEPHEN KAUFMAN O.D. Individual | Optometrist | 22850 NE 8TH ST SUITE 102 SAMMAMISH, WA 98074 (425) 868-3622 |
| 1104424662 | ANA BURCHECI Individual | Nurse Practitioner (Family) | 22850 NE 8TH ST SAMMAMISH, WA 98074 (425) 898-0305 |
| 1740262526 | DR. WILLIAM YEARDON MCKEE MD Individual | Family Medicine | 22850 NE 8TH ST SUITE 103 SAMMAMISH, WA 98074 (425) 898-0305 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417058694, enumerated in the NPI registry as an "organization" on September 26, 2006
The provider is located at 22850 Ne 8th St Ste 103 Sammamish, Wa 98074 and the phone number is (425) 898-0305
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. 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 September 26, 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].
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