MOSCOW PULLMAN OBGYN
NPI 1386709624
Obstetrics & Gynecology - Critical Care Medicine in Pullman, WA
NPI Status: Active since December 27, 2006
Contact Information
1205 SE PROFESSIONAL MALL BLVD STE 102
PULLMAN, WA
ZIP 99163
Phone: (509) 332-7511
Fax: (509) 334-4712
- Organization
- Obstetrics & Gynecology
- Critical Care Medicine
- Accepts Insurance
- CLIA Number: 13D0879418
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-28-2028
About MOSCOW PULLMAN OBGYN
This page provides the complete NPI Profile along with additional information for Moscow Pullman Obgyn, a women's health care provider established in Pullman, Washington operating as a Obstetrics & Gynecology, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1386709624 assigned on December 2006. The practitioner's primary taxonomy code is 207VC0200X with license number D40218 (ID). The provider is registered as an organization and their NPI record was last updated 14 years ago. Moscow Pullman Obgyn 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 Moscow Pullman Obgyn. The authorized official of this NPI record is Dr. Ric Minudri M. D. (Partner)
- NPI
- 1386709624
- Provider Legal Name
- DEVLIN & HUBERTY PS
- Other Organization Name
- MOSCOW PULLMAN OBGYN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1205 SE PROFESSIONAL MALL BLVD STE 102 PULLMAN, WA 99163
- Location Phone
- (509) 332-7511
- Location Fax
- (509) 334-4712
- Mailing Address
- 623 SOUTH MAIN ST #5 MOSCOW, ID 83843
- Mailing Phone
- (208) 883-0133
- Mailing Fax
- (509) 334-4712
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2006
- Last Update Date
- 01-04-2012
- Code Navigator
Women's health care providers like Moscow Pullman Obgyn treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology Critical Care Medicine
- Taxonomy Code
- 207VC0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D40218
- License State
- ID
- Taxonomy Description
- An obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 13D0879418
- Facility Type
- Physician Office
- Certificate Effective Date
- March 29, 2026
- Certificate Expiration Date
- March 28, 2028
- Laboratory Director
- CHARLES RICHARDS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Moscow Pullman Obgyn in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1386709624, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PULLMAN, WA 99163
PULLMAN, WA 99163
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386709624, enumerated as an "organization" on December 27, 2006.
The provider is located at 1205 SE PROFESSIONAL MALL BLVD STE 102 PULLMAN, WA 99163 and the phone number is (509) 332-7511.
Obstetrics & Gynecology with taxonomy code 207VC0200X and a focus in Critical Care Medicine.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
