N W PEDIATRIC CENTER INC P S
NPI 1194091637
Pediatrics in Rochester, WA

NPI Status: Active since March 29, 2012

Contact Information

18313 PAULSON ST SW
ROCHESTER, WA
ZIP 98579
Phone: (360) 736-6778
Fax: (360) 736-6552

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  • Organization
  • Pediatrics
  • Accepts Insurance

About N W PEDIATRIC CENTER INC P S

This page provides the complete NPI Profile along with additional information for N W Pediatric Center Inc P S, a pediatrician established in Rochester, Washington operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1194091637 assigned on March 2012. The practitioner's primary taxonomy code is 208000000X with license number MD00027525 (WA). The provider is registered as an organization and their NPI record was last updated one year ago. N W Pediatric Center Inc P S 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 Lisa Gail Mckay (Practice Manager)

NPI
1194091637
Provider Name
N W PEDIATRIC CENTER INC P S
Entity Type
Organization
Location Address
18313 PAULSON ST SW ROCHESTER, WA 98579
Location Phone
(360) 736-6778
Location Fax
(360) 736-6552
Mailing Address
1911 COOKS HILL RD CENTRALIA, WA 98531
Mailing Phone
(360) 736-6778
Mailing Fax
(360) 736-6552
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-29-2012
Last Update Date
10-09-2025
Code Navigator

A pediatrician like N W Pediatric Center Inc P S is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00027525
License State
WA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

D160180464 (WA)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD00048049 (WA)
3208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD00032554 (WA)
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD00028578 (WA)
5208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD00029916 (WA)
6208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD00043677 (WA)
7208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD00038226 (WA)
82084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

MD00039351 (WA)
9363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

AP30006273 (WA)
10363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

AP60093357 (WA)
11363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

AP60086265 (WA)
12363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

AP30007039 (WA)
13363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

AP30004257 (WA)

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:

  • 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

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

LISA GAIL MCKAY

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(360) 736-6777

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
8349342MEDICAID (05)WI 
1058825MEDICAID (05)WI 
8488298MEDICAID (05)WA 
9636994MEDICAID (05)WA 
1072958MEDICAID (05)WA 
9653551MEDICAID (05)WA 
9661323MEDICAID (05)WA 
8141947MEDICAID (05)WA 
8251324MEDICAID (05)WA 
9643156MEDICAID (05)WA 
8173882MEDICAID (05)WA 
8398356MEDICAID (05)WA 
961422MEDICAID (05)WA 
2010815MEDICAID (05)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 1194091637, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 9 → 18 → 9 0 → 0 1 → 2 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 + 8 + 4 + 0 + 9 + 2 + 6 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1194091637.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
18313 PAULSON ST SW
ROCHESTER, WA 98579
Nurse Practitioner (Family)
18313 PAULSON ST SW
ROCHESTER, WA 98579
Family Medicine
18313 PAULSON ST SW
ROCHESTER, WA 98579
Nurse Practitioner (Family)
18313 PAULSON ST SW
ROCHESTER, WA 98579
Nurse Practitioner (Family)
18313 PAULSON ST SW, SUITE A
ROCHESTER, WA 98579
Registered Nurse (Ambulatory Care)
18313 PAULSON ST SW
ROCHESTER, WA 98579
Clinic/Center (Rural Health)
18313 PAULSON ST SW, SUITE A
ROCHESTER, WA 98579

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194091637, enumerated as an "organization" on March 29, 2012.

The provider is located at 18313 PAULSON ST SW ROCHESTER, WA 98579 and the phone number is (360) 736-6778.

Pediatrics with taxonomy code 208000000X.

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