SAMUEL KIRTLEY MD
NPI 1124016548
Family Medicine in Walla Walla, WA

NPI Status: Active since October 10, 2005

Contact Information

55 W TIETAN ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 525-3720
Fax: (509) 522-1592

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  • Individual
  • Male
  • Family Medicine

About SAMUEL KIRTLEY

This page provides the complete NPI Profile along with additional information for Samuel Kirtley, a primary care provider established in Walla Walla, Washington with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1124016548 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X with license number MD00045745 (WA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1124016548
Provider Name
SAMUEL KIRTLEY MD
Gender
Male
Entity Type
Individual
Location Address
55 W TIETAN ST WALLA WALLA, WA 99362
Location Phone
(509) 525-3720
Location Fax
(509) 522-1592
Mailing Address
55 W TIETAN ST WALLA WALLA, WA 99362
Mailing Phone
(509) 525-3720
Mailing Fax
(509) 522-1592
Is Sole Proprietor?
No
Enumeration Date
10-10-2005
Last Update Date
11-28-2007
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A primary care provider (PCP) like Samuel Kirtley 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.
MD00045745
License State
WA
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.

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.

*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
244092MEDICAID (05)OR 
8494080MEDICAID (05)WA 
B29205MEDICARE UPIN (02)WA 
G8867027MEDICARE PIN (08)WA 
0223882OTHER (01)WAL&I

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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 1124016548, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 0 + 1 + 1 + 2 + 5 + 8 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1124016548.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine (Gastroenterology)
55 W TIETAN ST
WALLA WALLA, WA 99362
Radiology (Diagnostic Radiology)
55 W TIETAN ST
WALLA WALLA, WA 99362
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Orthopaedic Surgery
55 W TIETAN ST
WALLA WALLA, WA 99362
Dermatology
55 W TIETAN ST
WALLA WALLA, WA 99362
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Physician Assistant
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Urology
55 W TIETAN ST
WALLA WALLA, WA 99362
Nurse Practitioner (Adult Health)
55 W TIETAN ST
WALLA WALLA, WA 99362
Podiatrist
55 W TIETAN ST
WALLA WALLA, WA 99362
Dietitian, Registered
55 W TIETAN ST
WALLA WALLA, WA 99362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124016548, enumerated as an "individual" on October 10, 2005.

The provider is located at 55 W TIETAN ST WALLA WALLA, WA 99362 and the phone number is (509) 525-3720.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.