IDEAL OPTION, PLLC
NPI 1609326511
Family Medicine - Addiction Medicine in Everett, WA

NPI Status: Active since October 04, 2016

Contact Information

3624 COLBY AVE
STE B
EVERETT, WA
ZIP 98201
Phone: (877) 522-1275
Fax: (509) 491-3031

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  • Organization
  • Family Medicine
  • Addiction Medicine

About IDEAL OPTION, PLLC

This page provides the complete NPI Profile along with additional information for Ideal Option, Pllc, a provider established in Everett, Washington operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1609326511 assigned on October 2016. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Ideal Option, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Brian Jefferson Dawson Md (Cmo)

NPI
1609326511
Provider Name
IDEAL OPTION, PLLC
Entity Type
Organization
Location Address
3624 COLBY AVE STE B EVERETT, WA 98201
Location Phone
(877) 522-1275
Location Fax
(509) 491-3031
Mailing Address
8656 W GAGE BLVD STE 301B KENNEWICK, WA 99336
Mailing Phone
(509) 222-1275
Mailing Fax
(509) 491-3031
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2016
Last Update Date
08-30-2023
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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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

*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

BRIAN JEFFERSON DAWSON MD

Authorized Official Title
CMO
Authorized Official Phone
(509) 222-1275

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
2031254MEDICAID (05)WA 

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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.
1609326511
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609621252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 6 + 2 + 1 + 2 + 5 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1609326511 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619304714SEATTLE PAIN CENTER
Organization
Specialist3624 COLBY AVE SUITE B
EVERETT, WA 98201
(425) 250-5551
1083942155 JODI APONTE CDP
Individual
Counselor (Addiction (Substance Use Disorder))3624 COLBY AVE
EVERETT, WA 98201
(425) 366-8517
1568997682USA IN HOME HEARING
Organization
Hearing Aid Equipment3624 COLBY AVE SUITE B
EVERETT, WA 98201
(425) 378-6586
1356029128DR. ANDREY BUSEV D.D.S.
Individual
Dentist (General Practice)3624 COLBY AVE
EVERETT, WA 98201
(425) 258-2834

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609326511, enumerated in the NPI registry as an "organization" on October 04, 2016

The provider is located at 3624 Colby Ave Ste B Everett, Wa 98201 and the phone number is (877) 522-1275

This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine

The provider might be accepting Accepts: Medicare and Medicaid. 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 October 04, 2016. 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.