ROGUE VALLEY EAR, NOSE, THROAT & FACIAL PLASTICS PC
NPI 1427296623
Otolaryngology in Grants Pass, OR

NPI Status: Active since January 26, 2009

Contact Information

1601 NE 6TH ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 479-2600
Fax: (541) 479-2990

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  • Organization
  • Otolaryngology
  • CLIA Number: 38D0941887
  • CLIA Cert. Type: Other - YOUTH CORRECTIONAL FACILI
  • CLIA Exp. Date: 12-31-2025

About ROGUE VALLEY EAR, NOSE, THROAT & FACIAL PLASTICS PC

This page provides the complete NPI Profile along with additional information for Rogue Valley Ear, Nose, Throat & Facial Plastics Pc, a provider established in Grants Pass, Oregon operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1427296623 assigned on January 2009. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Rogue Valley Ear, Nose, Throat & Facial Plastics Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kimberly A Kozak D.o. (Owner)

NPI
1427296623
Provider Name
ROGUE VALLEY EAR, NOSE, THROAT & FACIAL PLASTICS PC
Entity Type
Organization
Location Address
1601 NE 6TH ST GRANTS PASS, OR 97526
Location Phone
(541) 479-2600
Location Fax
(541) 479-2990
Mailing Address
1601 NE 6TH ST GRANTS PASS, OR 97526
Mailing Phone
(541) 479-2600
Mailing Fax
(541) 479-2990
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2009
Last Update Date
01-26-2009
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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)
1207YS0123XAllopathic & Osteopathic Physicians

Otolaryngology
Facial Plastic Surgery

 

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:

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

KIMBERLY A KOZAK D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(541) 479-2600

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
150358MEDICAID (05)OR 
G50481MEDICARE UPIN (02)OR 

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
38D0941887
Facility Type
Other - YOUTH CORRECTIONAL FACILI
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
DR. LUCINDA KOLO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rogue Valley Ear, Nose, Throat & Facial Plastics Pc 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.

Reviews for ROGUE VALLEY EAR, NOSE, THROAT & FACIAL PLASTICS PC

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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 1427296623, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 2 → 4 2 → 4 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 4 + 9 + 1 + 2 + 6 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1427296623.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
1601 NE 6TH ST
GRANTS PASS, OR 97526
Nurse Practitioner (Pediatrics)
1601 NE 6TH ST
GRANTS PASS, OR 97526
Clinic/Center (Primary Care)
1601 NE 6TH ST
GRANTS PASS, OR 97526
Clinic/Center (Rural Health)
1601 NE 6TH ST
GRANTS PASS, OR 97526
Nurse Practitioner (Family)
1601 NE 6TH ST
GRANTS PASS, OR 97526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427296623, enumerated as an "organization" on January 26, 2009.

The provider is located at 1601 NE 6TH ST GRANTS PASS, OR 97526 and the phone number is (541) 479-2600.

Otolaryngology with taxonomy code 207Y00000X.

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