LAKEVIEW SPINE
NPI 1306189741
Physical Medicine & Rehabilitation in Ellensburg, WA

NPI Status: Active since April 04, 2013

Contact Information

100 E JACKSON AVE
SUITE 102
ELLENSBURG, WA
ZIP 98926
Phone: (509) 575-6000
Fax: (509) 225-2714

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  • Organization
  • Physical Medicine & Rehabilitation
  • CLIA Number: 50D0961733
  • CLIA Cert. Type: Other - CLINIC
  • CLIA Exp. Date: 04-04-2028

About LAKEVIEW SPINE

This page provides the complete NPI Profile along with additional information for Lakeview Spine, a provider established in Ellensburg, Washington operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1306189741 assigned on April 2013. The practitioner's primary taxonomy code is 208100000X with license number 602902835 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Lakeview Spine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lakeview Spine. The authorized official of this NPI record is Timothy Reed (Chief Operating Officer)

NPI
1306189741
Provider Legal Name
MEMORIAL PHYSICIANS, PLLC
Other Organization Name
LAKEVIEW SPINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 E JACKSON AVE SUITE 102 ELLENSBURG, WA 98926
Location Phone
(509) 575-6000
Location Fax
(509) 225-2714
Mailing Address
3800 SUMMITVIEW AVE YAKIMA, WA 98902
Mailing Phone
(509) 574-6000
Mailing Fax
(509) 225-2714
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2013
Last Update Date
04-27-2015
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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

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
602902835
License State
WA
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

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.

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

TIMOTHY REED

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(509) 248-7849

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
50D0961733
Facility Type
Other - CLINIC
Certificate Effective Date
June 15, 1999
Certificate Expiration Date
April 04, 2028
Laboratory Director
DR. SHEILA D. LYNAM
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Lakeview Spine on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1306189741, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 2 + 8 + 1 + 8 + 7 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1306189741.

Other Providers at the Same Location


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

Urology
100 E JACKSON AVE, STE 105
ELLENSBURG, WA 98926
Physical Medicine & Rehabilitation
100 E JACKSON AVE, SUITE 200
ELLENSBURG, WA 98926
Surgery (Vascular Surgery)
100 E JACKSON AVE, STE. 102
ELLENSBURG, WA 98926
Clinic/Center
100 E JACKSON AVE, STE. 102
ELLENSBURG, WA 98926
Clinic/Center
100 E JACKSON AVE, STE. 102
ELLENSBURG, WA 98926
Physical Therapist
100 E JACKSON AVE, SUITE 201
ELLENSBURG, WA 98926
Physical Therapist
100 E JACKSON AVE, SUITE 201
ELLENSBURG, WA 98926
Clinic/Center (Physical Therapy)
100 E JACKSON AVE, SUITE 201
ELLENSBURG, WA 98926
Physical Therapist
100 E JACKSON AVE, SUITE 201
ELLENSBURG, WA 98926
Clinic/Center
100 E JACKSON AVE, SUITE 102
ELLENSBURG, WA 98926
Podiatrist (Foot & Ankle Surgery)
100 E JACKSON AVE, SUITE 102
ELLENSBURG, WA 98926
Clinic/Center (Rural Health)
100 E JACKSON AVE
ELLENSBURG, WA 98926
Clinic/Center (Rural Health)
100 E JACKSON AVE
ELLENSBURG, WA 98926
Pediatrics
100 E JACKSON AVE
ELLENSBURG, WA 98926
Radiologic Technologist (Magnetic Resonance Imaging)
100 E JACKSON AVE
ELLENSBURG, WA 98926
Physician Assistant
100 E JACKSON AVE
ELLENSBURG, WA 98926
Physician Assistant
100 E JACKSON AVE
ELLENSBURG, WA 98926
Physician Assistant
100 E JACKSON AVE
ELLENSBURG, WA 98926
Physician Assistant
100 E JACKSON AVE
ELLENSBURG, WA 98926
Physician Assistant
100 E JACKSON AVE
ELLENSBURG, WA 98926

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306189741, enumerated as an "organization" on April 04, 2013.

The provider is located at 100 E JACKSON AVE SUITE 102 ELLENSBURG, WA 98926 and the phone number is (509) 575-6000.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.