NORTHWEST MEDICAL GROUP PLLC
NPI 1154006492
Preventive Medicine - Occupational Medicine in Moses Lake, WA
NPI Status: Active since June 15, 2023
Contact Information
938 W 3RD AVE
MOSES LAKE, WA
ZIP 98837
Phone: (509) 350-4785
Fax: (509) 380-9591
- Organization
- Preventive Medicine
- Occupational Medicine
- CLIA Number: 50D2273497
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About NORTHWEST MEDICAL GROUP PLLC
This page provides the complete NPI Profile along with additional information for Northwest Medical Group Pllc, a provider established in Moses Lake, Washington operating as a Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1154006492 assigned on June 2023. The practitioner's primary taxonomy code is 2083X0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Northwest Medical Group Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Brandon Penix Do, Mph (Owner)
- NPI
- 1154006492
- Provider Name
- NORTHWEST MEDICAL GROUP PLLC
- Entity Type
- Organization
- Location Address
- 938 W 3RD AVE MOSES LAKE, WA 98837
- Location Phone
- (509) 350-4785
- Location Fax
- (509) 380-9591
- Mailing Address
- 938 W 3RD AVE MOSES LAKE, WA 98837
- Mailing Phone
- (509) 350-4785
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2023
- Last Update Date
- 12-30-2024
- Code Navigator
Location Map
Secondary Locations
- 1240 S Pioneer Way Ste A
Moses Lake, WA 98837
(509) 350-4785
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
Preventive Medicine Occupational Medicine
- Taxonomy Code
- 2083X0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
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 | 163WX0106X | Nursing Service Providers | Registered Nurse | |
| 2 | 2083P0500X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 3 | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine | |
| 4 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 5 | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
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:
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 |
|---|---|---|---|
| 0471864 | OTHER (01) | WA | LABOR AND INDUSTRIES |
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
- 50D2273497
- Facility Type
- Physician Office
- Certificate Effective Date
- December 14, 2022
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- BRANDON PENIX
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northwest Medical Group Pllc 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 1154006492, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154006492, enumerated as an "organization" on June 15, 2023.
The provider is located at 938 W 3RD AVE MOSES LAKE, WA 98837 and the phone number is (509) 350-4785.
Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
