PETROFF CENTER
NPI 1275607616
Clinic/Center - Ambulatory Surgical in Lake Oswego, OR
NPI Status: Active since November 18, 2006
Contact Information
17720 JEAN WAY STE 100
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 635-4886
Fax: (503) 635-1655
- Organization
- Clinic/Center
- Ambulatory Surgical
About PETROFF CENTER
This page provides the complete NPI Profile along with additional information for Petroff Center, a provider established in Lake Oswego, Oregon operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1275607616 assigned on November 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 07-1550 (OR). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Petroff Center. The authorized official of this NPI record is Dr. Mark A Petroff Md (President)
- NPI
- 1275607616
- Provider Legal Name
- MARK A. PETROFF, MD. PC
- Other Organization Name
- PETROFF CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 17720 JEAN WAY STE 100 LAKE OSWEGO, OR 97035
- Location Phone
- (503) 635-4886
- Location Fax
- (503) 635-1655
- Mailing Address
- 17720 JEAN WAY STE 100 LAKE OSWEGO, OR 97035
- Mailing Phone
- (503) 635-4886
- Mailing Fax
- (503) 635-1655
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-18-2006
- Last Update Date
- 05-07-2008
- Code Navigator
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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 07-1550
- License State
- OR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 133784 | MEDICARE PIN (08) | OR |
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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 | 7 | 5 | 6 | 0 | 7 | 6 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 0 | 14 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 0 + 1 + 4 + 6 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1275607616 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
ANDREA L JOHNSON CRNA
Nurse Anesthetist, Certified Registered
17720 JEAN WAY STE 100
LAKE OSWEGO, OR
ZIP 97035
JUST RIGHT ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
17720 JEAN WAY STE 100
LAKE OSWEGO, OR
ZIP 97035
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275607616, enumerated as an "organization" on November 18, 2006.
The provider is located at 17720 JEAN WAY STE 100 LAKE OSWEGO, OR 97035 and the phone number is (503) 635-4886.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
