SUMMIT ORTHOPAEDICS, LLP
NPI 1427200021
Orthopaedic Surgery in Lake Oswego, OR

NPI Status: Active since October 15, 2008

Contact Information

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 850-9940
Fax: (503) 850-6725

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance

About SUMMIT ORTHOPAEDICS, LLP

This page provides the complete NPI Profile along with additional information for Summit Orthopaedics, Llp, a provider established in Lake Oswego, Oregon operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1427200021 assigned on October 2008. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Summit Orthopaedics, Llp operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kim K Guest (Admin)

NPI
1427200021
Provider Name
SUMMIT ORTHOPAEDICS, LLP
Entity Type
Organization
Location Address
4103 MERCANTILE DR LAKE OSWEGO, OR 97035
Location Phone
(503) 850-9940
Location Fax
(503) 850-6725
Mailing Address
4103 MERCANTILE DR LAKE OSWEGO, OR 97035
Mailing Phone
(503) 850-9940
Mailing Fax
(503) 850-6725
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-15-2008
Last Update Date
04-05-2024
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Location Map

Secondary Locations

  • 2695 SW Cedar Hills Blvd Ste 140
    Beaverton, OR 97005
    (503) 850-9940

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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

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:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6200 Individual and Family Network - EPO
  • Silver 6200 Legacy - EPO

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

KIM K GUEST

Authorized Official Title
ADMIN
Authorized Official Phone
(503) 850-9940

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
500616835MEDICAID (05)OR 

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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.
1427200021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244740004
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 0 + 0 + 0 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1427200021 is valid because the calculated check digit 1 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.

DR. ALBERT CHAFFIN M.D.

Pediatrics

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 636-4508

BRITTON A FROME MD PC

Orthopaedic Surgery

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

AMER J MIRZA, MD PC

Clinic/Center

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

DR. CRAIG THOMAS GILLIS D.O.

Orthopaedic Surgery

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

CRAIG T GILLIS DO PC

Orthopaedic Surgery

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

DR. COREY J VANDE ZANDSCHULP M.D.

Orthopaedic Surgery

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

DR. STEVEN M MADEY MD

Orthopaedic Surgery

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

DR. BRITTON A FROME MD

Orthopaedic Surgery

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

STEVEN M MADEY MD PC

Orthopaedic Surgery

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

PETER SOO-HWAN KIM

Physician Assistant

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

COREY VANDE ZANDSCHULP MD PC

Orthopaedic Surgery

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

STEPHEN J WALLACE MD PC

Orthopaedic Surgery

(Foot and Ankle Surgery)

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

STEPHEN J WALLACE MD

Orthopaedic Surgery

(Foot and Ankle Surgery)

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

MEGAN ELAINE HUNT PA

Physician Assistant

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

MR. ANTHONY LANCE JOHNSON PA-C

Physician Assistant

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

BRITTANY MARIE SCHNELLE APRN

Nurse Practitioner

(Acute Care)

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

ANDREW SCOTT ROMAINE PA-C

Physician Assistant

(Surgical)

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

AMANDA JEAN SHINPAUGH PA-C

Physician Assistant

(Surgical)

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

SANDRA B RUFF OTR, CHT

Occupational Therapist

(Hand)

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9950

MISS AMANDA MAGDALENA KINDER FNP-C

Nurse Practitioner

(Family)

4103 MERCANTILE DR
LAKE OSWEGO, OR
ZIP 97035

(503) 850-9940

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427200021, enumerated as an "organization" on October 15, 2008.

The provider is located at 4103 MERCANTILE DR LAKE OSWEGO, OR 97035 and the phone number is (503) 850-9940.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.