ATHENIX BODY SCULPTING INSTITUTE
NPI 1578970117
Clinic/Center - Ambulatory Surgical in Bellevue, WA

NPI Status: Active since July 15, 2014

Contact Information

636 120TH AVE NE STE 202
BELLEVUE, WA
ZIP 98005
Phone: (425) 454-2410
Fax: (425) 454-2259

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About ATHENIX BODY SCULPTING INSTITUTE

This page provides the complete NPI Profile along with additional information for Athenix Body Sculpting Institute, a provider established in Bellevue, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1578970117 assigned on July 2014. The practitioner's primary taxonomy code is 261QA1903X with license number ASF.FS.60329939 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Athenix Body Sculpting Institute. The authorized official of this NPI record is Mr. James Haefner (Ceo)

NPI
1578970117
Provider Legal Name
NORTHWEST SURGICAL DEVELOPMENT OF BELLEVUE LLC
Other Organization Name
ATHENIX BODY SCULPTING INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
636 120TH AVE NE STE 202 BELLEVUE, WA 98005
Location Phone
(425) 454-2410
Location Fax
(425) 454-2259
Mailing Address
65 ENTERPRISE STE 125 ALISO VIEJO, CA 92656
Mailing Phone
(949) 600-9931
Mailing Fax
(425) 454-2259
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2014
Last Update Date
02-10-2015
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
ASF.FS.60329939
License State
WA

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. JAMES HAEFNER

Authorized Official Title
CEO
Authorized Official Phone
(949) 600-9931

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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.
1578970117
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25148187012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 8 + 7 + 0 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1578970117 is valid because the calculated check digit 7 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
1801203310ATHENIX PHYSICIANS GROUP NORTHWEST, PLLC
Organization
Surgery (Plastic and Reconstructive Surgery)636 120TH AVE NE STE 202
BELLEVUE, WA 98005
(425) 454-2410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578970117, enumerated in the NPI registry as an "organization" on July 15, 2014

The provider is located at 636 120th Ave Ne Ste 202 Bellevue, Wa 98005 and the phone number is (425) 454-2410

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

This NPI record was last updated on July 15, 2014. 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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