MOSCOW PULLMAN OB GYN
NPI 1063582971
Obstetrics & Gynecology in Pullman, WA

NPI Status: Active since November 08, 2006

Contact Information

1205 SE PROFESSIONAL MALL BLVD
STE 102
PULLMAN, WA
ZIP 99163
Phone: (509) 332-7511
Fax: (509) 334-4712

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  • Organization
  • Obstetrics & Gynecology
  • Accepts Insurance
  • CLIA Number: 50D0638887
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About MOSCOW PULLMAN OB GYN

This page provides the complete NPI Profile along with additional information for Moscow Pullman Ob Gyn, a women's health care provider established in Pullman, Washington operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1063582971 assigned on November 2006. The practitioner's primary taxonomy code is 207V00000X with license number 600100244 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Moscow Pullman Ob Gyn operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Moscow Pullman Ob Gyn. The authorized official of this NPI record is Dr. Ric Minudri (Officer)

NPI
1063582971
Provider Legal Name
DEVLIN & HUBERTY PS
Other Organization Name
MOSCOW PULLMAN OB GYN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1205 SE PROFESSIONAL MALL BLVD STE 102 PULLMAN, WA 99163
Location Phone
(509) 332-7511
Location Fax
(509) 334-4712
Mailing Address
1205 SE PROFESSIONAL MALL BLVD STE 102 PULLMAN, WA 99163
Mailing Phone
(509) 332-7511
Mailing Fax
(509) 334-4712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2006
Last Update Date
01-04-2012
Code Navigator

Women's health care providers like Moscow Pullman Ob Gyn treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
600100244
License State
WA
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - 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. RIC MINUDRI

Authorized Official Title
OFFICER
Authorized Official Phone
(509) 332-7511

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
50D0638887
Facility Type
Physician Office
Certificate Effective Date
September 01, 1992
Certificate Expiration Date
April 04, 2028
Laboratory Director
NIGEL R. CAMPBELL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Moscow Pullman Ob Gyn 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.

Reviews for MOSCOW PULLMAN OB GYN

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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 1063582971, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 6 → 12 → 3 5 → 10 → 1 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 1 + 0 + 8 + 4 + 9 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1063582971.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pediatrics
1205 SE PROFESSIONAL MALL BLVD, SUITE 104
PULLMAN, WA 99163
Obstetrics & Gynecology (Gynecology)
1205 SE PROFESSIONAL MALL BLVD
PULLMAN, WA 99163
Obstetrics & Gynecology
1205 SE PROFESSIONAL MALL BLVD
PULLMAN, WA 99163
Obstetrics & Gynecology
1205 SE PROFESSIONAL MALL BLVD
PULLMAN, WA 99163
Obstetrics & Gynecology
1205 SE PROFESSIONAL MALL BLVD
PULLMAN, WA 99163
Counselor (Mental Health)
1205 SE PROFESSIONAL MALL BLVD, SUITE 113
PULLMAN, WA 99163
Psychologist
1205 SE PROFESSIONAL MALL BLVD, SUITE 113
PULLMAN, WA 99163
Dentist (General Practice)
1205 SE PROFESSIONAL MALL BLVD, SUITE #108
PULLMAN, WA 99163
Dentist (General Practice)
1205 SE PROFESSIONAL MALL BLVD, SUITE 201
PULLMAN, WA 99163
Public Health or Welfare
1205 SE PROFESSIONAL MALL BLVD, SUITE 203
PULLMAN, WA 99163
Psychologist
1205 SE PROFESSIONAL MALL BLVD, SUITE 113
PULLMAN, WA 99163
Dentist
1205 SE PROFESSIONAL MALL BLVD, SUITE 202
PULLMAN, WA 99163
Family Medicine
1205 SE PROFESSIONAL MALL BLVD, SUITE 105
PULLMAN, WA 99163
Pediatrics
1205 SE PROFESSIONAL MALL BLVD, SUITE 104
PULLMAN, WA 99163
Dentist
1205 SE PROFESSIONAL MALL BLVD, SUITE 201
PULLMAN, WA 99163
Counselor (Mental Health)
1205 SE PROFESSIONAL MALL BLVD, SUITE 109
PULLMAN, WA 99163
Pediatrics
1205 SE PROFESSIONAL MALL BLVD, SUITE104
PULLMAN, WA 99163
Pediatrics
1205 SE PROFESSIONAL MALL BLVD, SUITE 104
PULLMAN, WA 99163
Counselor (Mental Health)
1205 SE PROFESSIONAL MALL BLVD
PULLMAN, WA 99163

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063582971, enumerated as an "organization" on November 08, 2006.

The provider is located at 1205 SE PROFESSIONAL MALL BLVD STE 102 PULLMAN, WA 99163 and the phone number is (509) 332-7511.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.