EASTSIDE PODIATRY CLINIC
NPI 1750796579
Podiatrist - Foot & Ankle Surgery in Bellevue, WA

NPI Status: Active since July 01, 2014

Contact Information

2950 NORTHUP WAY
SUITE #115
BELLEVUE, WA
ZIP 98004
Phone: (425) 893-8100
Fax: (425) 893-8111

Get Directions Reviews

  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance

About EASTSIDE PODIATRY CLINIC

This page provides the complete NPI Profile along with additional information for Eastside Podiatry Clinic, a provider established in Bellevue, Washington operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1750796579 assigned on July 2014. The practitioner's primary taxonomy code is 213ES0103X with license number PO 60234756 (WA). The provider is registered as an organization and their NPI record was last updated 10 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 is doing business as Eastside Podiatry Clinic. The authorized official of this NPI record is Dr. Taesoon Park Dpm (Manager/owner)

NPI
1750796579
Provider Legal Name
METROLIANCE FOOT AND ANKLE GROUP
Other Organization Name
EASTSIDE PODIATRY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2950 NORTHUP WAY SUITE #115 BELLEVUE, WA 98004
Location Phone
(425) 893-8100
Location Fax
(425) 893-8111
Mailing Address
2950 NORTHUP WAY SUITE #115 BELLEVUE, WA 98004
Mailing Phone
(425) 893-8100
Mailing Fax
(425) 893-8111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2014
Last Update Date
09-28-2015
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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
PO 60234756
License State
WA

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:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • 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

*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

DR. TAESOON PARK DPM

Authorized Official Title
MANAGER/OWNER
Authorized Official Phone
(206) 707-4747

Reviews for EASTSIDE PODIATRY CLINIC

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.
1750796579
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710014912514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 9 + 1 + 2 + 5 + 1 + 4 + 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 = 99

The NPI number 1750796579 is valid because the calculated check digit 9 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
1518025618EASTSIDE PREMIER MEDICINE PLLC
Organization
Internal Medicine2950 NORTHUP WAY SUITE 210
BELLEVUE, WA 98004
(425) 284-3377
1972712644DR. SEPEHR EGRARI MD FACS
Individual
Surgery (Plastic and Reconstructive Surgery)2950 NORTHUP WAY SUITE 100
BELLEVUE, WA 98004
(425) 827-7878
1760446611DR. GLEN A. CURDA DPM
Individual
Podiatrist (Foot & Ankle Surgery)2950 NORTHUP WAY SUITE 115
BELLEVUE, WA 98004
(425) 893-8100
1740408293METROLIANCE FOOT AND ANKLE GROUP
Organization
Clinic/Center (Ambulatory Surgical)2950 NORTHUP WAY SUITE 115
BELLEVUE, WA 98004
(425) 893-8100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750796579, enumerated in the NPI registry as an "organization" on July 01, 2014

The provider is located at 2950 Northup Way Suite #115 Bellevue, Wa 98004 and the phone number is (425) 893-8100

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider might be accepting Accepts: PacificSource Health Plans and Premera Blue Cross. 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 July 01, 2014. 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.