EVERETT FOOT CLINIC PLLC
NPI 1184397036
Podiatrist in Everett, WA

NPI Status: Active since July 27, 2021

Contact Information

3401 RUCKER AVE
EVERETT, WA
ZIP 98201
Phone: (425) 259-3757
Fax: (425) 259-6565

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  • Organization
  • Podiatrist
  • Accepts Insurance
  • CLIA Number: 50D0863985
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About EVERETT FOOT CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Everett Foot Clinic Pllc, a provider established in Everett, Washington operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1184397036 assigned on July 2021. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 5 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 Mr. Timothy I Mccord Dpm (President Of Organization)

NPI
1184397036
Provider Name
EVERETT FOOT CLINIC PLLC
Entity Type
Organization
Location Address
3401 RUCKER AVE EVERETT, WA 98201
Location Phone
(425) 259-3757
Location Fax
(425) 259-6565
Mailing Address
3401 RUCKER AVE EVERETT, WA 98201
Mailing Phone
(425) 259-3757
Mailing Fax
(425) 259-6565
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2021
Last Update Date
07-27-2021
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A podiatrist like Everett Foot Clinic Pllc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

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

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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.

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

MR. TIMOTHY I MCCORD DPM

Authorized Official Title
PRESIDENT OF ORGANIZATION
Authorized Official Phone
(425) 259-3757

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
50D0863985
Facility Type
Physician Office
Certificate Effective Date
November 01, 1993
Certificate Expiration Date
April 04, 2028
Laboratory Director
ZARRY TAVAKKOL
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Everett Foot Clinic Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1184397036, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
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 8 → 16 → 7 3 → 6 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 6 + 9 + 1 + 4 + 0 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1184397036.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Podiatrist
3401 RUCKER AVE
EVERETT, WA 98201
Podiatrist (Foot & Ankle Surgery)
3401 RUCKER AVE
EVERETT, WA 98201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184397036, enumerated as an "organization" on July 27, 2021.

The provider is located at 3401 RUCKER AVE EVERETT, WA 98201 and the phone number is (425) 259-3757.

Podiatrist with taxonomy code 213E00000X.

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