EVERGREEN NEUROLOGY CLINIC, PLLC
NPI 1174710966
Psychiatry & Neurology - Neurology in Kirkland, WA

NPI Status: Active since September 26, 2007

Contact Information

12303 NE 130TH LN
SUITE 325
KIRKLAND, WA
ZIP 98034
Phone: (425) 822-1214

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  • Organization
  • Psychiatry & Neurology
  • Neurology

About EVERGREEN NEUROLOGY CLINIC, PLLC

This page provides the complete NPI Profile along with additional information for Evergreen Neurology Clinic, Pllc, a provider established in Kirkland, Washington operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1174710966 assigned on September 2007. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 18 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 Dr. Raymond Park Md (Owner)

NPI
1174710966
Provider Name
EVERGREEN NEUROLOGY CLINIC, PLLC
Entity Type
Organization
Location Address
12303 NE 130TH LN SUITE 325 KIRKLAND, WA 98034
Location Phone
(425) 822-1214
Mailing Address
PO BOX 69737 SEATTLE, WA 98168
Mailing Phone
(206) 431-0138
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2007
Last Update Date
02-29-2008
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License State
WA
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Group Taxonomy 193400000X 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:

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

DR. RAYMOND PARK MD

Authorized Official Title
OWNER
Authorized Official Phone
(425) 822-1214

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
G8869704MEDICARE PIN (08)WA 

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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 1174710966, 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 7 → 14 → 5 0 → 0 6 → 12 → 3

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 + 4 + 1 + 0 + 9 + 1 + 2 + 24 = 54

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.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1174710966.

Other Providers at the Same Location


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

Pharmacist
12303 NE 130TH LN, #210
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN, SUITE 230
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN, SUITE 230
KIRKLAND, WA 98034
Pharmacist (Pharmacotherapy)
12303 NE 130TH LN, SUITE120
KIRKLAND, WA 98034
Psychiatry & Neurology (Neurology)
12303 NE 130TH LN, SUITE 325
KIRKLAND, WA 98034
Pharmacist
12303 NE 130TH LN, SUITE 210
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
Nurse Practitioner (Obstetrics & Gynecology)
12303 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
Pharmacist
12303 NE 130TH LN, SUITE 210
KIRKLAND, WA 98034
Specialist
12303 NE 130TH LN, SUITE 120
KIRKLAND, WA 98034
Nurse Practitioner (Obstetrics & Gynecology)
12303 NE 130TH LN, SUITE 400
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Family Medicine
12303 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Obstetrics & Gynecology (Gynecology)
12303 NE 130TH LN, SUITE #420
KIRKLAND, WA 98034
Obstetrics & Gynecology (Gynecology)
12303 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Nurse Practitioner (Women's Health)
12303 NE 130TH LN, SUITE #420
KIRKLAND, WA 98034
Nurse Practitioner (Family)
12303 NE 130TH LN, SUITE #420
KIRKLAND, WA 98034
Internal Medicine (Sports Medicine)
12303 NE 130TH LN, #220
KIRKLAND, WA 98034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174710966, enumerated as an "organization" on September 26, 2007.

The provider is located at 12303 NE 130TH LN SUITE 325 KIRKLAND, WA 98034 and the phone number is (425) 822-1214.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

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