WESTERN WASHINGTON MEDICAL GROUP ENDOSCOPY CENTER
NPI 1427005313
Clinic/Center - Ambulatory Surgical in Everett, WA

NPI Status: Active since May 27, 2006

Contact Information

12800 BOTHELL EVERETT HWY
SUITE 200
EVERETT, WA
ZIP 98208
Phone: (425) 259-3122

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 50D0706462
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About WESTERN WASHINGTON MEDICAL GROUP ENDOSCOPY CENTER

This page provides the complete NPI Profile along with additional information for Western Washington Medical Group Endoscopy Center, a provider established in Everett, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1427005313 assigned on May 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Western Washington Medical Group Endoscopy Center. The authorized official of this NPI record is Vicki Mcginnis (Hipaa Privacy Officer)

NPI
1427005313
Provider Legal Name
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Other Organization Name
WESTERN WASHINGTON MEDICAL GROUP ENDOSCOPY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12800 BOTHELL EVERETT HWY SUITE 200 EVERETT, WA 98208
Location Phone
(425) 259-3122
Mailing Address
4225 HOYT AVE SUITE A EVERETT, WA 98203
Mailing Phone
(425) 259-3122
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-27-2006
Last Update Date
02-23-2016
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QE0800XAmbulatory Health Care Facilities

Clinic/Center
Endoscopy

601 474 013 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • 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

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.

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

VICKI MCGINNIS

Authorized Official Title
HIPAA PRIVACY OFFICER
Authorized Official Phone
(425) 259-4041

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
490002852OTHER (01)WARAILROAD MEDICARE
7068356MEDICAID (05)WA 
115000592MEDICARE PIN (08)WA 
0150248OTHER (01)WALABOR AND INDUSTRY

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 219 times for 213 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 227 times for 226 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 56 times for 56 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 32 times for 32 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 53 times for 52 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 20 times for 19 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

This service was performed 31 times for 16 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

This service was performed 35 times for 35 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 480 times for 476 patients

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
50D0706462
Facility Type
Physician Office
Certificate Effective Date
November 24, 1997
Certificate Expiration Date
April 04, 2028
Laboratory Director
EDWARD SLOSBERG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Western Washington Medical Group Endoscopy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1427005313
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447001032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 0 + 1 + 0 + 3 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1427005313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

GEORGE ROBIN BECK MD

Pediatrics

12800 BOTHELL EVERETT HWY
SUITE 120
EVERETT, WA
ZIP 98208

(425) 316-5150

EARL D BEEGLE MD

Family Medicine

12800 BOTHELL EVERETT HWY
SUITE 120
EVERETT, WA
ZIP 98208

(425) 316-5150

MEERA MOHANAKUMAR MD

Family Medicine

12800 BOTHELL EVERETT HWY
SUITE 120
EVERETT, WA
ZIP 98208

(425) 316-5150

SUMMIT REHABILITATION, LLC

Physical Therapist

12800 BOTHELL EVERETT HWY
#100
EVERETT, WA
ZIP 98208

(425) 316-5090

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Radiologic Technologist

(Bone Densitometry)

12800 BOTHELL EVERETT HWY
SUITE 260B
EVERETT, WA
ZIP 98208

(425) 316-5425

DR. RANDALL K. GOULD M.D.

Family Medicine

12800 BOTHELL EVERETT HWY
SUITE 120
EVERETT, WA
ZIP 98208

(425) 316-5150

DAVID L. ERICKSON MD

Internal Medicine

12800 BOTHELL EVERETT HWY
SUITE 120
EVERETT, WA
ZIP 98208

(425) 316-5150

KRISTIN MARIANNE OBILLO M.D.

Family Medicine

12800 BOTHELL EVERETT HWY
EVERETT, WA
ZIP 98208

(425) 316-5180

CLINTON ANDERSON MD

Family Medicine

12800 BOTHELL EVERETT HWY
EVERETT, WA
ZIP 98208

(425) 316-5150

DR. MARIA R SOLORIO MD

Family Medicine

12800 BOTHELL EVERETT HWY
EVERETT, WA
ZIP 98208

(425) 316-5150

DIANE M. GULBAS MD

Emergency Medicine

12800 BOTHELL EVERETT HWY
SUITE 120
EVERETT, WA
ZIP 98208

(425) 316-5150

DR. VANESSA NICHOLSON M. D.

Family Medicine

12800 BOTHELL EVERETT HWY
EVERETT, WA
ZIP 98208

(425) 316-5150

ALAN O HAAKENSTAD MD.

Internal Medicine

(Nephrology)

12800 BOTHELL EVERETT HWY
SUITE180
EVERETT, WA
ZIP 98208

(425) 316-5130

NICHOLAS B. DE CHADENEDES MD

Pediatrics

12800 BOTHELL EVERETT HWY
SUITE 190
EVERETT, WA
ZIP 98208

(425) 316-5160

SARAH L. HATHAWAY MD

Family Medicine

12800 BOTHELL EVERETT HWY
SUITE 160
EVERETT, WA
ZIP 98208

(425) 316-5180

CHERE ELIZABETH MCCORMICK DO

Family Medicine

12800 BOTHELL EVERETT HWY
SUITE 160
EVERETT, WA
ZIP 98208

(425) 316-5170

GERARD P. WYGANT MD

Family Medicine

12800 BOTHELL EVERETT HWY
SUITE 160
EVERETT, WA
ZIP 98208

(425) 316-5180

CHRISTINE WALSH SNYDER ARNP

Nurse Practitioner

12800 BOTHELL EVERETT HWY
SUITE 160
EVERETT, WA
ZIP 98208

(425) 316-5180

PATRICIA FARADAY THOMAS ARNP

Nurse Practitioner

12800 BOTHELL EVERETT HWY
STE 180
EVERETT, WA
ZIP 98208

(425) 316-5130

SAMUEL COTE LIEN M.D.

Surgery

(Plastic and Reconstructive Surgery)

12800 BOTHELL EVERETT HWY
EVERETT, WA
ZIP 98208

(425) 316-5080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427005313, enumerated as an "organization" on May 27, 2006.

The provider is located at 12800 BOTHELL EVERETT HWY SUITE 200 EVERETT, WA 98208 and the phone number is (425) 259-3122.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.