ASC GI DIAGNOSTIC CENTER, LLC
NPI 1174551758
Clinic/Center - Ambulatory Surgical in Bend, OR

NPI Status: Active since June 30, 2006

Contact Information

2084 NE PROFESSIONAL CT
BEND, OR
ZIP 97701
Phone: (541) 322-5753
Fax: (541) 749-2130

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About ASC GI DIAGNOSTIC CENTER, LLC

This page provides the complete NPI Profile along with additional information for Asc Gi Diagnostic Center, Llc, a provider established in Bend, Oregon operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1174551758 assigned on June 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 071580 (OR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Stephen B. Archer Md (Medical Director)

NPI
1174551758
Provider Name
ASC GI DIAGNOSTIC CENTER, LLC
Entity Type
Organization
Location Address
2084 NE PROFESSIONAL CT BEND, OR 97701
Location Phone
(541) 322-5753
Location Fax
(541) 749-2130
Mailing Address
2084 NE PROFESSIONAL CT BEND, OR 97701
Mailing Phone
(541) 322-5753
Mailing Fax
(541) 749-2130
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2006
Last Update Date
05-24-2011
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
071580
License State
OR

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.

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

STEPHEN B. ARCHER MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(541) 322-5753

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
134822MEDICARE ID-TYPE UNSPECIFIED (04)OR 
006075MEDICAID (05)OR 

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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 1174551758, 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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 7 → 14 → 5 5 → 10 → 1 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 0 + 5 + 2 + 7 + 1 + 0 + 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 1174551758.

Other Providers at the Same Location


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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Surgery
2084 NE PROFESSIONAL CT
BEND, OR 97701
Marriage & Family Therapist
2084 NE PROFESSIONAL CT
BEND, OR 97701
Family Medicine
2084 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Family Medicine
2084 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Clinic/Center (Federally Qualified Health Center (FQHC))
2084 NE PROFESSIONAL CT
BEND, OR 97701
Dental Hygienist
2084 NE PROFESSIONAL CT
BEND, OR 97701
Social Worker (Clinical)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Pediatrics
2084 NE PROFESSIONAL CT
BEND, OR 97701
Clinic/Center (Federally Qualified Health Center (FQHC))
2084 NE PROFESSIONAL CT
BEND, OR 97701
Clinic/Center (Multi-Specialty)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Interpreter
2084 NE PROFESSIONAL CT
BEND, OR 97701
Community Health Worker
2084 NE PROFESSIONAL CT
BEND, OR 97701
Community Health Worker
2084 NE PROFESSIONAL CT
BEND, OR 97701
Physician Assistant
2084 NE PROFESSIONAL CT
BEND, OR 97701
Internal Medicine (Gastroenterology)
2084 NE PROFESSIONAL CT
BEND, OR 97701
Physician Assistant
2084 NE PROFESSIONAL CT
BEND, OR 97701
Dental Hygienist
2084 NE PROFESSIONAL CT
BEND, OR 97701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174551758, enumerated as an "organization" on June 30, 2006.

The provider is located at 2084 NE PROFESSIONAL CT BEND, OR 97701 and the phone number is (541) 322-5753.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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