EVERGREEN MEDICAL GROUP WOODINVILLE
NPI 1942301122
Family Medicine in Woodinville, WA
NPI Status: Active since September 26, 2006
Contact Information
17000 140TH AVE NE
STE 101
WOODINVILLE, WA
ZIP 98072
Phone: (425) 481-6363
Fax: (425) 488-4971
- Organization
- Family Medicine
- CLIA Number: 50D2263838
- CLIA Cert. Type: Other - AFH
- CLIA Exp. Date: 04-04-2028
About EVERGREEN MEDICAL GROUP WOODINVILLE
This page provides the complete NPI Profile along with additional information for Evergreen Medical Group Woodinville, a primary care provider established in Woodinville, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1942301122 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 15 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 Evergreen Medical Group Woodinville. The authorized official of this NPI record is Robert Malte (Ceo)
- NPI
- 1942301122
- Provider Legal Name
- PUBLIC HOSPITAL DISTRICT NO 2
- Other Organization Name
- EVERGREEN MEDICAL GROUP WOODINVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 17000 140TH AVE NE STE 101 WOODINVILLE, WA 98072
- Location Phone
- (425) 481-6363
- Location Fax
- (425) 488-4971
- Mailing Address
- PO BOX 34036 SEATTLE, WA 98124
- Mailing Phone
- (425) 899-3292
- Mailing Fax
- (425) 488-4971
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-26-2006
- Last Update Date
- 01-04-2011
- Code Navigator
A primary care provider (PCP) like Evergreen Medical Group Woodinville 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
- 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:
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.
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 |
|---|---|---|---|
| CQ2437 | OTHER (01) | WA | MEDICARE RAILROAD |
| CG8137 | OTHER (01) | WA | MEDICARE RAILROAD |
| CJ9678 | OTHER (01) | WA | MEDICARE RAILROAD |
| 7072374 | MEDICAID (05) | WA | |
| CG2833 | OTHER (01) | WA | MEDICARE RAILROAD |
| G217120800 | 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
- 50D2263838
- Facility Type
- Other - AFH
- Certificate Effective Date
- July 06, 2022
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- IONA SURUGITE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evergreen Medical Group Woodinville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for EVERGREEN MEDICAL GROUP WOODINVILLE
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. | |||||||||
| 1 | 9 | 4 | 2 | 3 | 0 | 1 | 1 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 6 | 0 | 2 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 6 + 0 + 2 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1942301122 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770589772 | DR. GENE E. GRAFF D.O. Individual | Specialist | 17000 140TH AVE NE UNIT 206 WOODINVILLE, WA 98072 (425) 485-7985 |
| 1811979743 | DR. LARRY ROBERT HARPER MD Individual | Family Medicine | 17000 140TH AVE NE SUITE 101 WOODINVILLE, WA 98072 (425) 481-6363 |
| 1720060163 | ROBERT RAY YOUNKIN MD Individual | Family Medicine | 17000 140TH AVE NE SUITE 101 WOODINVILLE, WA 98072 (425) 481-6363 |
| 1851323307 | MARYELLEN ZINSLEY ARNP Individual | Nurse Practitioner | 17000 140TH AVE NE SUITE # 101 WOODINVILLE, WA 98072 (425) 488-2273 |
| 1104931369 | MICHAEL JOHN KOCZARSKI DDS Individual | Dentist (General Practice) | 17000 140TH AVE NE SUITE 202 WOODINVILLE, WA 98072 (425) 486-2200 |
| 1407956394 | DR. NEIL K KANESHIRO MD Individual | Pediatrics (Pediatric Emergency Medicine) | 17000 140TH AVE NE SUITE 102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1922198191 | PUBLIC HOSPITAL DISTRICT NO 2 Organization | Family Medicine | 17000 140TH AVE NE STE 101 WOODINVILLE, WA 98072 (425) 488-2273 |
| 1871678003 | GREGORY ALAN SLIMAN MD Individual | Pediatrics | 17000 140TH AVE NE #102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1275618415 | DAVID A KOH MD Individual | Pediatrics | 17000 140TH AVE NE #102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1568547735 | DR. WHITNEY ROOSE ANDERSON MD Individual | Pediatrics | 17000 140TH AVE NE #102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1699850834 | JILL TRUEX MILLER MD Individual | Pediatrics | 17000 140TH AVE NE SUITE 102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1134204399 | DR. MARIE LOUISE BILGER MD Individual | Pediatrics | 17000 140TH AVE NE SUITE 102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1023193257 | JOSEPH KENJI NAKAHARA MD Individual | Pediatrics | 17000 140TH AVE NE #102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1801971064 | MRS. EMLYN HALBERG BAKER ARNP Individual | Registered Nurse | 17000 140TH AVE NE SUITE 102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1326123571 | DR. CHRISTOPHER LEE JOHNSON MD Individual | Pediatrics | 17000 140TH AVE NE #102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1740365998 | DR. BARBARA C CUMMINGS MD Individual | Pediatrics | 17000 140TH AVE NE #102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1528144516 | DR. MITCHELL B WEINBERG MD PHD Individual | Pediatrics | 17000 140TH AVE NE SUITE 102 WOODINVILLE, WA 98072 (425) 483-5437 |
| 1104978238 | DR. RODERICK ALAN MOORE DPM Individual | Podiatrist (Foot & Ankle Surgery) | 17000 140TH AVE NE UNIT 201 WOODINVILLE, WA 98072 (425) 481-7055 |
| 1437285079 | DR. RAMA OSKOUIAN D.M.D., M.P.H. Individual | Dentist (Pediatric Dentistry) | 17000 140TH AVE NE SUITE 302 WOODINVILLE, WA 98072 (425) 402-8393 |
| 1023133840 | DAVID M BAUS PT Individual | Physical Therapist | 17000 140TH AVE NE 303 WOODINVILLE, WA 98072 (425) 481-1744 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942301122, enumerated in the NPI registry as an "organization" on September 26, 2006
The provider is located at 17000 140th Ave Ne Ste 101 Woodinville, Wa 98072 and the phone number is (425) 481-6363
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 50D2263838 for a "other - afh" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 26, 2006. 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.