APPLEGATE VALLEY FAMILY MEDICINE
NPI 1629174495
Nurse Practitioner - Family in Grants Pass, OR

NPI Status: Active since September 16, 2006

Contact Information

8600 NEW HOPE RD
GRANTS PASS, OR
ZIP 97527
Phone: (541) 862-2836
Fax: (541) 862-2806

Get Directions Reviews

  • Organization
  • Nurse Practitioner
  • Family

About APPLEGATE VALLEY FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Applegate Valley Family Medicine, a provider established in Grants Pass, Oregon operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1629174495 assigned on September 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 222705-99 (OR). The provider is registered as an organization and their NPI record was last updated 6 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 other name is Applegate Valley Family Medicine. The authorized official of this NPI record is Roger M Fogg Fnp-c (Owner)

NPI
1629174495
Provider Legal Name
APPLEGATE VALLEY FAMILY MEDICINE, LLC
Other Organization Name
APPLEGATE VALLEY FAMILY MEDICINE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
8600 NEW HOPE RD GRANTS PASS, OR 97527
Location Phone
(541) 862-2836
Location Fax
(541) 862-2806
Mailing Address
8600 NEW HOPE RD GRANTS PASS, OR 97527
Mailing Phone
(541) 862-2836
Mailing Fax
(541) 862-2806
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2006
Last Update Date
05-31-2019
Code Navigator

A nurse practitioner (NP) like Applegate Valley Family Medicine is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
222705-99
License State
OR

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.

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

ROGER M FOGG FNP-C

Authorized Official Title
OWNER
Authorized Official Phone
(541) 862-2836

Reviews for APPLEGATE VALLEY FAMILY MEDICINE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1629174495
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649278418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 7 + 8 + 4 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1629174495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891790523DR. CHUTUOC CHRISTINE TRANDINH M.D.
Individual
Internal Medicine8600 NEW HOPE RD
GRANTS PASS, OR 97527
(541) 862-2836
1558467852MR. ROGER M FOGG FNP-C
Individual
Nurse Practitioner (Family)8600 NEW HOPE RD
GRANTS PASS, OR 97527
(541) 862-2836

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629174495, enumerated in the NPI registry as an "organization" on September 16, 2006

The provider is located at 8600 New Hope Rd Grants Pass, Or 97527 and the phone number is (541) 862-2836

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

This NPI record was last updated on September 16, 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.