PROVASCULAR SURGERY ASSOCIATES PLLC
NPI 1174851810
Surgery - Vascular Surgery in Renton, WA
NPI Status: Active since November 18, 2009
Contact Information
4300 TALBOT RD S
STE 101
RENTON, WA
ZIP 98055
Phone: (425) 227-4341
Fax: (425) 793-6045
- Organization
- Surgery
- Vascular Surgery
- Accepts Insurance
About PROVASCULAR SURGERY ASSOCIATES PLLC
This page provides the complete NPI Profile along with additional information for Provascular Surgery Associates Pllc, a provider established in Renton, Washington operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1174851810 assigned on November 2009. The practitioner's primary taxonomy code is 2086S0129X with license number MD60106870 (WA). The provider is registered as an organization and their NPI record was last updated 12 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 Dennis L Su Md (Physician/owner)
- NPI
- 1174851810
- Provider Name
- PROVASCULAR SURGERY ASSOCIATES PLLC
- Entity Type
- Organization
- Location Address
- 4300 TALBOT RD S STE 101 RENTON, WA 98055
- Location Phone
- (425) 227-4341
- Location Fax
- (425) 793-6045
- Mailing Address
- 4300 TALBOT RD S STE 101 RENTON, WA 98055
- Mailing Phone
- (425) 227-4341
- Mailing Fax
- (425) 793-6045
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-18-2009
- Last Update Date
- 12-12-2014
- Code Navigator
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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD60106870
- License State
- WA
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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:
- 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.
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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 1174851810, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174851810, enumerated as an "organization" on November 18, 2009.
The provider is located at 4300 TALBOT RD S STE 101 RENTON, WA 98055 and the phone number is (425) 227-4341.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
