EDMONDS FAMILY MEDICINE CLINIC PS
NPI 1255736104
Family Medicine in Edmonds, WA

NPI Status: Active since November 04, 2014

Contact Information

7315 212TH ST SW
SUITE 101
EDMONDS, WA
ZIP 98026
Phone: (425) 775-9474
Fax: (425) 670-3554

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  • Organization
  • Family Medicine
  • Accepts Insurance

About EDMONDS FAMILY MEDICINE CLINIC PS

This page provides the complete NPI Profile along with additional information for Edmonds Family Medicine Clinic Ps, a primary care provider established in Edmonds, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1255736104 assigned on November 2014. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Edmonds Family Medicine Clinic Ps 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 Ms. Marcy Shimada (Ceo)

NPI
1255736104
Provider Name
EDMONDS FAMILY MEDICINE CLINIC PS
Entity Type
Organization
Location Address
7315 212TH ST SW SUITE 101 EDMONDS, WA 98026
Location Phone
(425) 775-9474
Location Fax
(425) 670-3554
Mailing Address
7315 212TH ST SW SUITE 101 EDMONDS, WA 98026
Mailing Phone
(425) 775-9474
Mailing Fax
(425) 670-3554
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2014
Last Update Date
11-04-2014
Code Navigator

A primary care provider (PCP) like Edmonds Family Medicine Clinic Ps sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
3363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

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

MS. MARCY SHIMADA

Authorized Official Title
CEO
Authorized Official Phone
(425) 670-3555

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
GAB20769MEDICARE 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 1255736104, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 4 + 3 + 1 + 2 + 1 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1255736104.

Other Providers at the Same Location


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

Surgery
7315 212TH ST SW, SUITE 201
EDMONDS, WA 98026
Surgery
7315 212TH ST SW, SUITE 201
EDMONDS, WA 98026
Surgery
7315 212TH ST SW, SUITE 201
EDMONDS, WA 98026
Surgery
7315 212TH ST SW, SUITE 201
EDMONDS, WA 98026
Surgery
7315 212TH ST SW, SUITE 201
EDMONDS, WA 98026
Obstetrics & Gynecology (Gynecology)
7315 212TH ST SW, #204
EDMONDS, WA 98026
Physician Assistant (Surgical)
7315 212TH ST SW, SUITE 201
EDMONDS, WA 98026
Family Medicine
7315 212TH ST SW, SUITE 101
EDMONDS, WA 98026
Physical Therapist
7315 212TH ST SW, SUITE 104
EDMONDS, WA 98026
Physical Therapist
7315 212TH ST SW, SUITE 104
EDMONDS, WA 98026
Family Medicine
7315 212TH ST SW, SUITE 101
EDMONDS, WA 98026
Optometrist
7315 212TH ST SW, STE 200
EDMONDS, WA 98026
Family Medicine
7315 212TH ST SW, SUITE 101
EDMONDS, WA 98026
Podiatrist
7315 212TH ST SW, #103
EDMONDS, WA 98026
Nurse Practitioner (Family)
7315 212TH ST SW, STE 101
EDMONDS, WA 98026
Family Medicine
7315 212TH ST SW, SUITE 101
EDMONDS, WA 98026
Specialist
7315 212TH ST SW, SUITE 208
EDMONDS, WA 98026
Specialist
7315 212TH ST SW, SUITE 208
EDMONDS, WA 98026
Physical Therapist
7315 212TH ST SW, SUITE 104
EDMONDS, WA 98026
Clinic/Center
7315 212TH ST SW, SUITE 103
EDMONDS, WA 98026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255736104, enumerated as an "organization" on November 04, 2014.

The provider is located at 7315 212TH ST SW SUITE 101 EDMONDS, WA 98026 and the phone number is (425) 775-9474.

Family Medicine with taxonomy code 207Q00000X.

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.