ADVANCED VASCULAR THERAPY LLC
NPI 1356726418
Surgery - Vascular Surgery in Salem, OR

NPI Status: Active since July 29, 2015

Contact Information

2480 LIBERTY ST NE
SUITE 110
SALEM, OR
ZIP 97301
Phone: (503) 371-1756

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  • Organization
  • Surgery
  • Vascular Surgery

About ADVANCED VASCULAR THERAPY LLC

This page provides the complete NPI Profile along with additional information for Advanced Vascular Therapy Llc, a provider established in Salem, Oregon operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1356726418 assigned on July 2015. The practitioner's primary taxonomy code is 2086S0129X with license number MD150190 (OR). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Glen S Roseborough M.d. (Director)

NPI
1356726418
Provider Name
ADVANCED VASCULAR THERAPY LLC
Entity Type
Organization
Location Address
2480 LIBERTY ST NE SUITE 110 SALEM, OR 97301
Location Phone
(503) 371-1756
Mailing Address
2480 LIBERTY ST NE SUITE 110 SALEM, OR 97301
Mailing Phone
(503) 371-1756
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2015
Last Update Date
11-20-2015
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
MD150190
License State
OR
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

GLEN S ROSEBOROUGH M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(503) 371-1756

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
599512556MEDICAID (05)OR 
H25149MEDICARE UPIN (02)OR 

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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 1356726418, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 1 → 2

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 + 1 + 4 + 2 + 1 + 2 + 4 + 2 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1356726418.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Clinic/Center (Radiology)
2480 LIBERTY ST NE, STE. 110
SALEM, OR 97301
Nurse Practitioner (Family)
2480 LIBERTY ST NE, SUITE 180
SALEM, OR 97301
Clinic/Center (Medical Specialty)
2480 LIBERTY ST NE, STE 180
SALEM, OR 97301
Social Worker (Clinical)
2480 LIBERTY ST NE
SALEM, OR 97301
Internal Medicine (Clinical Cardiac Electrophysiology)
2480 LIBERTY ST NE, SUITE 110
SALEM, OR 97301
Pain Medicine (Interventional Pain Medicine)
2480 LIBERTY ST NE, SUITE 110
SALEM, OR 97301
Anesthesiology (Pain Medicine)
2480 LIBERTY ST NE, SUITE 180
SALEM, OR 97301
Physical Therapist
2480 LIBERTY ST NE, STE 140
SALEM, OR 97301
Physical Therapist
2480 LIBERTY ST NE, SUITE 140
SALEM, OR 97301
Physician Assistant (Medical)
2480 LIBERTY ST NE, SUITE 180
SALEM, OR 97301
Surgery (Vascular Surgery)
2480 LIBERTY ST NE, SUITE 110
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356726418, enumerated as an "organization" on July 29, 2015.

The provider is located at 2480 LIBERTY ST NE SUITE 110 SALEM, OR 97301 and the phone number is (503) 371-1756.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

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