SALEM PEDIATRIC CLINIC
NPI 1245307693
Pediatrics in Salem, OR

NPI Status: Active since November 29, 2006

Contact Information

2478 13TH ST SE
SALEM, OR
ZIP 97302
Phone: (503) 362-2481
Fax: (503) 371-7803

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pediatrics
Accepts Insurance
CLIA Number: 38D0667311
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 12-31-2026

About SALEM PEDIATRIC CLINIC

This page provides the complete NPI Profile along with additional information for Salem Pediatric Clinic, a pediatrician established in Salem, Oregon operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1245307693 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Liz Casebeer (Administrator)

NPI: 1245307693
Provider Name: SALEM PEDIATRIC CLINIC
Entity Type: Organization
Location Address: 2478 13TH ST SE SALEM, OR 97302
Location Phone: (503) 362-2481
Location Fax: (503) 371-7803
Mailing Address: 2478 13TH ST SE SALEM, OR 97302
Mailing Phone: (503) 362-2481
Mailing Fax: (503) 371-7803
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-29-2006
Last Update Date: 03-04-2015
Code Navigator

A pediatrician like Salem Pediatric Clinic 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
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.

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:

BridgeSpan Health Company

BridgeSpan Standard Bronze Plan - EPO
BridgeSpan Standard Gold Plan - EPO
BridgeSpan Standard Silver Plan - EPO

Moda Health Plan, Inc.

Moda Health Affinity Bronze 7750 - EPO
Moda Health Affinity Bronze 9000 - EPO
Moda Health Affinity Bronze HDHP 7500 - EPO
Moda Health Affinity Gold 1000 - EPO
Moda Health Affinity Gold 1500 - EPO
Moda Health Affinity Gold 250 - EPO
Moda Health Affinity Silver 3000 - EPO
Moda Health Affinity Silver 3400 - EPO
Moda Health Affinity Silver 4500 - EPO
Moda Health Affinity Silver 6000 - EPO
Moda Health Oregon Standard Bronze Affinity - EPO
Moda Health Oregon Standard Gold Affinity - EPO
Moda Health Oregon Standard Silver Affinity - EPO

Providence Health Plan

HSA Qualified 7100 Bronze - Choice Network - EPO
Providence Oregon Standard Bronze Plan - Choice Network - EPO
Providence Oregon Standard Gold Plan - Choice Network - EPO
Providence Oregon Standard Silver Plan - Choice Network - EPO

Regence BlueCross BlueShield of Oregon

Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
Bronze HSA 7000 Individual and Family Network - EPO
Gold 2300 Individual and Family Network - EPO
Regence Standard Bronze Plan Individual and Family Network - EPO
Regence Standard Gold Plan Individual and Family Network - EPO
Regence Standard Silver Plan Individual and Family Network - EPO
Silver 6200 Individual and Family Network - EPO

*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: LIZ CASEBEER
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (503) 485-3707

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: 38D0667311
Facility Type: Physician Office
Certificate Effective Date: January 01, 2025
Certificate Expiration Date: December 31, 2026
Laboratory Director: JENNIFER WIRSIG
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Salem Pediatric Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	4	5	3	0	7	6	9	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	8	5	6	0	14	6	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 0 + 1 + 4 + 6 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1245307693 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

KARIN D WEILER MD

Pediatrics

2478 13TH ST SE
SALEM, OR
ZIP 97302