ROGUE MEDICAL LLC
NPI 1265298400
Physician Assistant - Medical in Phoenix, OR

NPI Status: Active since February 26, 2024

Contact Information

205 N PHOENIX RD STE 430
PHOENIX, OR
ZIP 97535
Phone: (541) 778-4517
Fax: (541) 833-0995

Get Directions Write a Review

  • Organization
  • Physician Assistant
  • Medical
  • Accepts Insurance

About ROGUE MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Rogue Medical Llc, a primary care provider established in Phoenix, Oregon operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1265298400 assigned on February 2024. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Rogue Medical Llc 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 Ben Douglas Johnson Pa-c (Owner)

NPI
1265298400
Provider Name
ROGUE MEDICAL LLC
Entity Type
Organization
Location Address
205 N PHOENIX RD STE 430 PHOENIX, OR 97535
Location Phone
(541) 778-4517
Location Fax
(541) 833-0995
Mailing Address
205 N PHOENIX RD PHOENIX, OR 97535
Mailing Phone
(541) 778-4517
Mailing Fax
(541) 833-0995
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2024
Last Update Date
02-26-2024
Code Navigator

A primary care provider (PCP) like Rogue Medical Llc 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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

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)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

 

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:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - 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

BEN DOUGLAS JOHNSON PA-C

Authorized Official Title
OWNER
Authorized Official Phone
(541) 778-4517

Reviews for ROGUE MEDICAL LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1265298400, 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 6 → 12 → 3 2 → 4 8 → 16 → 7 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 + 2 + 5 + 4 + 9 + 1 + 6 + 4 + 0 + 24 = 60

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.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1265298400.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant (Medical)
205 N PHOENIX RD STE 430
PHOENIX, OR 97535

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265298400, enumerated as an "organization" on February 26, 2024.

The provider is located at 205 N PHOENIX RD STE 430 PHOENIX, OR 97535 and the phone number is (541) 778-4517.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.