PENINSULA MEDICAL IMAGING, PLLC
NPI 1356416705
Clinic/Center - Radiology in Sequim, WA

NPI Status: Active since November 21, 2006

Contact Information

675 N. FIFTH AVE
SUITE 2B
SEQUIM, WA
ZIP 98382
Phone: (360) 582-0590
Fax: (360) 582-0172

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  • Organization
  • Clinic/Center
  • Radiology

About PENINSULA MEDICAL IMAGING, PLLC

This page provides the complete NPI Profile along with additional information for Peninsula Medical Imaging, Pllc, a provider established in Sequim, Washington operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1356416705 assigned on November 2006. The practitioner's primary taxonomy code is 261QR0200X with license number MD00029650 (WA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Michael Scot Fishman M.d. (Owner)

NPI
1356416705
Provider Name
PENINSULA MEDICAL IMAGING, PLLC
Entity Type
Organization
Location Address
675 N. FIFTH AVE SUITE 2B SEQUIM, WA 98382
Location Phone
(360) 582-0590
Location Fax
(360) 582-0172
Mailing Address
PO BOX 24322 SEATTLE, WA 98124
Mailing Phone
(360) 582-0590
Mailing Fax
(360) 582-0172
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
03-03-2008
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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 Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities
License No.
MD00029650
License State
WA

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.

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

DR. MICHAEL SCOT FISHMAN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(360) 582-0590

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
G8802057MEDICARE PIN (08)WA 
F38099MEDICARE UPIN (02)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 1356416705, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 4 → 8 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 + 3 + 1 + 0 + 6 + 8 + 1 + 1 + 2 + 7 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1356416705.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356416705, enumerated as an "organization" on November 21, 2006.

The provider is located at 675 N. FIFTH AVE SUITE 2B SEQUIM, WA 98382 and the phone number is (360) 582-0590.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.