SOUTHWESTERN WASHINGTON UROLOGY CLINIC PLLC
NPI 1730350539
Specialist in Olympia, WA
NPI Status: Active since March 19, 2008
Contact Information
402A BLACK HILLS LN SW
OLYMPIA, WA
ZIP 98502
Phone: (360) 943-9400
Fax: (360) 956-3475
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 50D0722688
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About SOUTHWESTERN WASHINGTON UROLOGY CLINIC PLLC
This page provides the complete NPI Profile along with additional information for Southwestern Washington Urology Clinic Pllc, a provider established in Olympia, Washington operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1730350539 assigned on March 2008. The practitioner's primary taxonomy code is 174400000X with license number MD00041952 (WA). The provider is registered as an organization and their NPI record was last updated 12 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 Dr. Daniel M Brown Md (Owner)
- NPI
- 1730350539
- Provider Name
- SOUTHWESTERN WASHINGTON UROLOGY CLINIC PLLC
- Entity Type
- Organization
- Location Address
- 402A BLACK HILLS LN SW OLYMPIA, WA 98502
- Location Phone
- (360) 943-9400
- Location Fax
- (360) 956-3475
- Mailing Address
- 402A BLACK HILLS LN SW OLYMPIA, WA 98502
- Mailing Phone
- (360) 943-9400
- Mailing Fax
- (360) 956-3475
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-19-2008
- Last Update Date
- 04-20-2013
- Code Navigator
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD00041952
- License State
- WA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
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.
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 |
|---|---|---|---|
| GAB37877 | MEDICARE PIN (08) | WA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D0722688
- Facility Type
- Physician Office
- Certificate Effective Date
- July 27, 2005
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- DANIEL M. BROWN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southwestern Washington Urology Clinic Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 7 | 3 | 0 | 3 | 5 | 0 | 5 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 6 | 5 | 0 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 6 + 5 + 0 + 5 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1730350539 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730350539, enumerated in the NPI registry as an "organization" on March 19, 2008
The provider is located at 402a Black Hills Ln Sw Olympia, Wa 98502 and the phone number is (360) 943-9400
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 50D0722688 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on March 19, 2008. 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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