PROVIDENCE HOSPITALISTS SOUTHEAST
NPI 1689795478
Clinic/Center in Milwaukie, OR

NPI Status: Active since April 02, 2007

Contact Information

10150 SE 32ND AVE
MILWAUKIE, OR
ZIP 97222
Phone: (503) 513-8336

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  • Organization
  • Clinic/Center

About PROVIDENCE HOSPITALISTS SOUTHEAST

This page provides the complete NPI Profile along with additional information for Providence Hospitalists Southeast, a provider established in Milwaukie, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1689795478 assigned on April 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Providence Hospitalists Southeast. The authorized official of this NPI record is Eric Olson (Chief Finance Officer)

NPI
1689795478
Provider Legal Name
PROVIDENCE MILWAUKIE HOSPITAL
Other Organization Name
PROVIDENCE HOSPITALISTS SOUTHEAST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10150 SE 32ND AVE MILWAUKIE, OR 97222
Location Phone
(503) 513-8336
Mailing Address
PO BOX 3349 PORTLAND, OR 97208
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-02-2007
Last Update Date
10-30-2007
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

ERIC OLSON

Authorized Official Title
CHIEF FINANCE OFFICER
Authorized Official Phone
(503) 513-8308

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
R133555MEDICARE PIN (08)OR 
023300MEDICAID (05)OR 

Reviews for PROVIDENCE HOSPITALISTS SOUTHEAST

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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.
1689795478
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2616914910414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 9 + 1 + 0 + 4 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1689795478 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538115613 PETRA S NIEMANN MD
Individual
Internal Medicine10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8336
1457308579NOVA RADIOLOGY, P.C
Organization
Radiology (Diagnostic Radiology)10150 SE 32ND AVE
MILWAUKIE, OR 97222
(541) 513-8300
1538195532 ROBBY L MELBINGER CRNA
Individual
Registered Nurse10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8300
1518994565 SHAWN MICHAEL DEREMER M.D.
Individual
Anesthesiology10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8300
1508897422DR. RONALD K LARSON MD
Individual
Radiology (Diagnostic Radiology)10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8350
1457379612 JAMES E STARK M.D.
Individual
Radiology (Diagnostic Radiology)10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8300
1851319016 MICHAEL MING-YIN CHAN M.D.
Individual
Radiology (Diagnostic Radiology)10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8300
1902825433 GREGORY SNYDER CRNA
Individual
Nurse Anesthetist, Certified Registered10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8300
1881795078 SAMUEL H KIM MD
Individual
Emergency Medicine10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8311
1235227281DR. PAUL VINCENT SKILES M.D.
Individual
Emergency Medicine10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 297-6334
1093803132DR. JAMES EDWARD MARAS M.D.
Individual
Emergency Medicine10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 297-6334
1689755175DR. FRED LEE UNDERWOOD M.D.
Individual
Emergency Medicine10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 297-6334
1447331921DR. DAVID GLEN KNOX M.D.
Individual
Emergency Medicine10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 297-6334
1154485514DR. MARK N. ROBERTS D.O.
Individual
Emergency Medicine10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 297-6334
1740499094 MELISSA HOWELLS PT
Individual
Physical Therapist10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 216-0338
1437368677MRS. SHERI BURK MSPT
Individual
Physical Therapist10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8600
1992915904MS. LINDSEY SUSANNE BURDICK MSPT
Individual
Physical Therapist10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8600
1801006432 CHRISTINE W. VANWAGNER MSPT
Individual
Physical Therapist10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8615
1679783237 SASHI K PEDAPATI MD
Individual
Internal Medicine10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 513-8336
1649442765 JEREMY S KERN
Individual
Physical Therapist10150 SE 32ND AVE
MILWAUKIE, OR 97222
(503) 215-2180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689795478, enumerated in the NPI registry as an "organization" on April 02, 2007

The provider is located at 10150 Se 32nd Ave Milwaukie, Or 97222 and the phone number is (503) 513-8336

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

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 April 02, 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].
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.