LEGACY MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE SILVERTON
NPI 1093828006
Specialist in Silverton, OR
NPI Status: Active since August 16, 2006
Contact Information
452 WELCH ST
SILVERTON, OR
ZIP 97381
Phone: (503) 873-1722
Fax: (503) 874-2470
- Organization
- Specialist
- CLIA Number: 38D2149419
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-03-2026
About LEGACY MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE SILVERTON
This page provides the complete NPI Profile along with additional information for Legacy Medical Group Orthopedics And Sports Medicine Silverton, a provider established in Silverton, Oregon operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1093828006 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number 200550137NP (OR). The provider is registered as an organization and their NPI record was last updated 8 years ago. Legacy Medical Group Orthopedics And Sports Medicine Silverton 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 Legacy Medical Group Orthopedics And Sports Medicine Silverton. The authorized official of this NPI record is Sarah Jensen (Interim Cfo)
- NPI
- 1093828006
- Provider Legal Name
- SILVERTON HEALTH
- Other Organization Name
- LEGACY MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE SILVERTON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 452 WELCH ST SILVERTON, OR 97381
- Location Phone
- (503) 873-1722
- Location Fax
- (503) 874-2470
- Mailing Address
- PO BOX 3417 PORTLAND, OR 97208
- Mailing Phone
- (503) 873-1500
- Mailing Fax
- (503) 874-2470
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2006
- Last Update Date
- 07-20-2018
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 200550137NP
- License State
- OR
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | MD25349 (OR) |
| 2 | 174400000X | Other Service Providers | Specialist | MD16538 (OR) |
| 3 | 174400000X | Other Service Providers | Specialist | MD24813 (OR) |
| 4 | 174400000X | Other Service Providers | Specialist | MD25866 (OR) |
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.
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
- 38D2149419
- Facility Type
- Physician Office
- Certificate Effective Date
- June 04, 2024
- Certificate Expiration Date
- June 03, 2026
- Laboratory Director
- JOHN G. BUCKMASTER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Legacy Medical Group Orthopedics And Sports Medicine Silverton 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 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 1093828006, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093828006, enumerated as an "organization" on August 16, 2006.
The provider is located at 452 WELCH ST SILVERTON, OR 97381 and the phone number is (503) 873-1722.
Specialist with taxonomy code 174400000X.
