BOARDMAN SURGICAL LLC
NPI 1033700059
Physician Assistant - Surgical in Milwaukie, OR

NPI Status: Active since February 02, 2021

Contact Information

15074 SE BEVINGTON AVE
MILWAUKIE, OR
ZIP 97267
Phone: (503) 307-0159

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  • Organization
  • Physician Assistant
  • Surgical

About BOARDMAN SURGICAL LLC

This page provides the complete NPI Profile along with additional information for Boardman Surgical Llc, a provider established in Milwaukie, Oregon operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1033700059 assigned on February 2021. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Boardman Surgical Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ellie Boardman Csfa (Owner)

NPI
1033700059
Provider Name
BOARDMAN SURGICAL LLC
Entity Type
Organization
Location Address
15074 SE BEVINGTON AVE MILWAUKIE, OR 97267
Location Phone
(503) 307-0159
Mailing Address
15074 SE BEVINGTON AVE MILWAUKIE, OR 97267
Mailing Phone
(503) 307-0159
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2021
Last Update Date
02-03-2021
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1246ZC0007XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other
Surgical Assistant

 

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.

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

ELLIE BOARDMAN CSFA

Authorized Official Title
OWNER
Authorized Official Phone
(503) 307-0159

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033700059, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 1 + 4 + 0 + 0 + 0 + 1 + 0 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1033700059.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant (Surgical)
15074 SE BEVINGTON AVE
MILWAUKIE, OR 97267

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033700059, enumerated as an "organization" on February 02, 2021.

The provider is located at 15074 SE BEVINGTON AVE MILWAUKIE, OR 97267 and the phone number is (503) 307-0159.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.