LAKE FOREST PARK MEDICAL CLINIC
NPI 1548222102
Family Medicine in Lake Forest Park, WA

NPI Status: Active since April 06, 2006

Contact Information

17191 BOTHELL WAY NE
LAKE FOREST PARK, WA
ZIP 98155
Phone: (206) 365-6768
Fax: (206) 364-5418

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  • Organization
  • Family Medicine

About LAKE FOREST PARK MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Lake Forest Park Medical Clinic, a primary care provider established in Lake Forest Park, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1548222102 assigned on April 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 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 Lake Forest Park Medical Clinic. The authorized official of this NPI record is Mrs. Charles William Schneider (Pres/ceo)

NPI
1548222102
Provider Legal Name
LAKE FOREST PARK CLINIC TR
Other Organization Name
LAKE FOREST PARK MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17191 BOTHELL WAY NE LAKE FOREST PARK, WA 98155
Location Phone
(206) 365-6768
Location Fax
(206) 364-5418
Mailing Address
17191 BOTHELL WAY NE SUITE 205 LAKE FOREST PARK, WA 98155
Mailing Phone
(206) 365-6768
Mailing Fax
(206) 364-5418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2006
Last Update Date
04-21-2011
Code Navigator

A primary care provider (PCP) like Lake Forest Park Medical Clinic 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.

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

MRS. CHARLES WILLIAM SCHNEIDER

Authorized Official Title
PRES/CEO
Authorized Official Phone
(206) 368-1700

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
AB25977MEDICARE PIN (08) 
CJ6346OTHER (01)WARAILROAD MEDICARE
GAB25977MEDICARE PIN (08) 

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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.
1548222102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258842410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 4 + 2 + 4 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1548222102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497751721 AMOY A NG MD
Individual
Family Medicine17191 BOTHELL WAY NE SUITE 205
LAKE FOREST PARK, WA 98155
(206) 364-8272
1184620429 ROBYN PHILLIPS-MADSON DO
Individual
Family Medicine17191 BOTHELL WAY NE STE 205
LAKE FOREST PARK, WA 98155
(206) 364-8272
1124024476 LESLIE S NEWTON MD
Individual
Family Medicine17191 BOTHELL WAY NE STE 205
LAKE FOREST PARK, WA 98155
(206) 364-8272
1750354627 ROBERT C WOODBURY DO
Individual
Neuromusculoskeletal Medicine & OMM17191 BOTHELL WAY NE SUITE 205
LAKE FOREST PARK, WA 98155
(206) 364-8272
1023071149MR. CHARLES FREDRICK EBSWORTH D.D.S.
Individual
Dentist (General Practice)17191 BOTHELL WAY NE SUITE 201
LAKE FOREST PARK, WA 98155
(206) 362-0152
1710916846 TATYANA V BAKHTINOVA PA
Individual
Physician Assistant17191 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
(206) 364-8272
1184727117MS. REBECCA LYNN OLSON ARNP
Individual
Nurse Practitioner (Family)17191 BOTHELL WAY NE SUITE 205
LAKE FOREST PARK, WA 98155
(206) 364-8272
1205932191MISS KELLY JEAN HALL DPM
Individual
Podiatrist17191 BOTHELL WAY NE STE. 103
SEATTLE, WA 98155
(206) 365-5484
1295823110X-CEL ENTERPRISES, INC.
Organization
Clinic/Center (Physical Therapy)17191 BOTHELL WAY NE SUITE B203
LAKE FOREST PARK, WA 98155
(206) 367-6069
1104061969FRED EBSWORTH DDS PS
Organization
Clinic/Center (Dental)17191 BOTHELL WAY NE SUITE 201
LAKE FOREST PARK, WA 98155
(206) 362-0152
1780647024 SUSAN LEE JONES-KUBESKA DO
Individual
Family Medicine17191 BOTHELL WAY NE SUITE 205
LAKE FOREST PARK, WA 98155
(206) 364-8272
1912978495 MELINDA KLOEPFER RICE ARNP
Individual
Nurse Practitioner (Family)17191 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
(206) 364-8272
1093918195 KAREN LYNNE MILLER MD
Individual
Internal Medicine17191 BOTHELL WAY NE SUITE 205
LAKE FOREST PARK, WA 98155
(206) 364-8272
1639490063DR. LUCAS CAMDEN SMITH M.D.
Individual
Family Medicine17191 BOTHELL WAY NE SUITE 205
LAKE FOREST PARK, WA 98155
(206) 364-8272
1447676218MS. EMILY PEARSON EASLEY ARNP
Individual
Nurse Practitioner (Family)17191 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
(206) 364-8272

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548222102, enumerated in the NPI registry as an "organization" on April 06, 2006

The provider is located at 17191 Bothell Way Ne Lake Forest Park, Wa 98155 and the phone number is (206) 365-6768

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 April 06, 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.