RANDOLPH E PETERSON
NPI 1679752802
Orthopaedic Surgery in Ontario, OR

NPI Status: Active since October 24, 2007

Contact Information

840 SW 4TH AVENUE
ONTARIO, OR
ZIP 97914
Phone: (541) 889-2899

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  • Organization
  • Orthopaedic Surgery

About RANDOLPH E PETERSON

This page provides the complete NPI Profile along with additional information for Randolph E Peterson, a provider established in Ontario, Oregon operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1679752802 assigned on October 2007. The practitioner's primary taxonomy code is 207X00000X with license number 19969 (OR). The provider is registered as an organization and their NPI record was last updated 18 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 authorized official of this NPI record is Leslie Peterson (Manager)

NPI
1679752802
Provider Name
RANDOLPH E PETERSON
Entity Type
Organization
Location Address
840 SW 4TH AVENUE ONTARIO, OR 97914
Location Phone
(541) 889-2899
Mailing Address
PO BOX 1460 ONTARIO, OR 97914
Mailing Phone
(541) 889-2899
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2007
Last Update Date
10-24-2007
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
19969
License State
OR
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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.

*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

LESLIE PETERSON

Authorized Official Title
MANAGER
Authorized Official Phone
(541) 889-2899

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
135827MEDICAID (05)OR 
119509MEDICARE PIN (08) 
G31149MEDICARE UPIN (02) 

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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.
1679752802
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149145480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 4 + 5 + 4 + 8 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1679752802 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033155767 STEPHEN K AMES M.D.
Individual
Pediatrics840 SW 4TH AVENUE SUITE 105
ONTARIO, OR 97914
(541) 881-2380

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679752802, enumerated in the NPI registry as an "organization" on October 24, 2007

The provider is located at 840 Sw 4th Avenue Ontario, Or 97914 and the phone number is (541) 889-2899

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

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 24, 2007. 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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