EPPEL FAMILY MEDICINE LLC
NPI 1134472947
Family Medicine - Geriatric Medicine in Port Orchard, WA

NPI Status: Active since October 17, 2012

Contact Information

1950 POTTERY AVE
STE 140
PORT ORCHARD, WA
ZIP 98366
Phone: (360) 876-5440
Fax: (360) 876-0718

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  • Organization
  • Family Medicine
  • Geriatric Medicine
  • Accepts Insurance
  • CLIA Number: 50D2050802
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About EPPEL FAMILY MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Eppel Family Medicine Llc, a primary care provider established in Port Orchard, Washington operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1134472947 assigned on October 2012. The practitioner's primary taxonomy code is 207QG0300X with license number 1977 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. 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 Mrs. Wendie Pond (Billing Manager)

NPI
1134472947
Provider Name
EPPEL FAMILY MEDICINE LLC
Entity Type
Organization
Location Address
1950 POTTERY AVE STE 140 PORT ORCHARD, WA 98366
Location Phone
(360) 876-5440
Location Fax
(360) 876-0718
Mailing Address
1950 POTTERY AVE STE 140 PORT ORCHARD, WA 98366
Mailing Phone
(360) 876-5440
Mailing Fax
(360) 876-0718
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2012
Last Update Date
10-17-2012
Code Navigator

A primary care provider (PCP) like Eppel Family Medicine Llc 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 Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
License No.
1977
License State
WA
Taxonomy Description
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Group Taxonomy 193400000X MULTIPLE 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:

  • 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

MRS. WENDIE POND

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(360) 479-0508

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
50D2050802
Facility Type
Physician Office
Certificate Effective Date
December 06, 2012
Certificate Expiration Date
April 04, 2028
Laboratory Director
DIETER H. EPPEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eppel Family Medicine Llc 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.

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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 1134472947, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 4 → 8 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 8 + 7 + 4 + 9 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1134472947.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Chiropractor
1950 POTTERY AVE, SUITE #5
PORT ORCHARD, WA 98366
Dentist (General Practice)
1950 POTTERY AVE, SUITE 4
PORT ORCHARD, WA 98366
Dentist (General Practice)
1950 POTTERY AVE, SUITE 4
PORT ORCHARD, WA 98366
Family Medicine (Geriatric Medicine)
1950 POTTERY AVE, SUITE 140
PORT ORCHARD, WA 98366
Nurse Practitioner (Psychiatric/Mental Health)
1950 POTTERY AVE, SUITE 134
PORT ORCHARD, WA 98366
Dentist
1950 POTTERY AVE, SUITE 170
PORT ORCHARD, WA 98366
Behavior Technician
1950 POTTERY AVE
PORT ORCHARD, WA 98366
Behavior Technician
1950 POTTERY AVE
PORT ORCHARD, WA 98366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134472947, enumerated as an "organization" on October 17, 2012.

The provider is located at 1950 POTTERY AVE STE 140 PORT ORCHARD, WA 98366 and the phone number is (360) 876-5440.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.

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