MTN. VIEW FAMILY PRACTICE, PC
NPI 1861520991
Family Medicine in Gresham, OR

NPI Status: Active since March 01, 2007

Contact Information

24900 SE STARK ST
SUITE 205
GRESHAM, OR
ZIP 97030
Phone: (503) 665-1010
Fax: (503) 665-1023

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 38D0876443
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-31-2025

About MTN. VIEW FAMILY PRACTICE, PC

This page provides the complete NPI Profile along with additional information for Mtn. View Family Practice, Pc, a primary care provider established in Gresham, Oregon operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1861520991 assigned on March 2007. The practitioner's primary taxonomy code is 207Q00000X with license number MD18120 (OR). The provider is registered as an organization and their NPI record was last updated 11 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 Paul V Podett Md (President)

NPI
1861520991
Provider Name
MTN. VIEW FAMILY PRACTICE, PC
Entity Type
Organization
Location Address
24900 SE STARK ST SUITE 205 GRESHAM, OR 97030
Location Phone
(503) 665-1010
Location Fax
(503) 665-1023
Mailing Address
24900 SE STARK ST SUITE 205 GRESHAM, OR 97030
Mailing Phone
(503) 665-1010
Mailing Fax
(503) 665-1023
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2007
Last Update Date
03-25-2014
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A primary care provider (PCP) like Mtn. View Family Practice, Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD18120
License State
OR
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6200 Individual and Family Network - EPO
  • Silver 6200 Legacy - EPO

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

PAUL V PODETT MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 665-1010

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
MD18120OTHER (01)ORMD LIC

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
38D0876443
Facility Type
Physician Office
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
PAUL V. PODETT MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mtn. View Family Practice, Pc 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.
1861520991
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281211020918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 0 + 2 + 0 + 9 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1861520991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245222512 MANOHAR MULKI PUNJA MD
Individual
Internal Medicine (Cardiovascular Disease)24900 SE STARK ST SUITE 103
GRESHAM, OR 97030
(503) 665-4278
1255319497 DARRELL R LOCKWOOD MD
Individual
Internal Medicine24900 SE STARK ST STE 109, GRESHAM INTERNAL MEDICINE CLINIC
GRESHAM, OR 97030
(503) 667-1015
1255308631 SAKINEH ILIAIFAR X MD
Individual
Internal Medicine (Critical Care Medicine)24900 SE STARK ST SUITE #110
GRESHAM, OR 97030
(503) 465-6850
1861553232 KAREN MEES OT
Individual
Occupational Therapist24900 SE STARK ST SUITE 106
GRESHAM, OR 97030
(503) 413-3879
1205997681 CRAIG PLUMMER PT
Individual
Physical Therapist24900 SE STARK ST SUITE 106
GRESHAM, OR 97030
(503) 413-3879
1710110127ROBERT L KALEZ MD PC
Organization
Urology24900 SE STARK ST 208
GRESHAM, OR 97030
(503) 666-3030
1942552062RICHARD S POLIN PC
Organization
Neurological Surgery24900 SE STARK ST SUITE 208
GRESHAM, OR 97030
(503) 666-8139
1023416906 MICHAEL BARTH PA-C
Individual
Physician Assistant24900 SE STARK ST #205
GRESHAM, OR 97030
(503) 665-1010
1912916990 PATRICK JOSEPH MCGOWAN MD
Individual
Internal Medicine24900 SE STARK ST STE 202
GRESHAM, OR 97030
(503) 465-8887
1235278482 BROOKE BJORNBERG LOWRY PA-C
Individual
Physician Assistant24900 SE STARK ST
GRESHAM, OR 97030
(506) 665-1010
1346924446 MARIA KAY KULLA
Individual
Nurse Practitioner (Family)24900 SE STARK ST
GRESHAM, OR 97030
(503) 413-7162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861520991, enumerated in the NPI registry as an "organization" on March 01, 2007

The provider is located at 24900 Se Stark St Suite 205 Gresham, Or 97030 and the phone number is (503) 665-1010

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 38D0876443 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 01, 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.