OREGON UROLOGY ALLIANCE
NPI 1437330180
Urology in Tualatin, OR

NPI Status: Active since November 23, 2007

Contact Information

19260 SW 65TH AVE STE 310
TUALATIN, OR
ZIP 97062
Phone: (503) 692-1200
Fax: (503) 692-1220

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  • Organization
  • Urology
  • Accepts Insurance
  • CLIA Number: 38D2015814
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-03-2026

About OREGON UROLOGY ALLIANCE

This page provides the complete NPI Profile along with additional information for Oregon Urology Alliance, a provider established in Tualatin, Oregon operating as a Urology. The healthcare provider is registered in the NPI registry with number 1437330180 assigned on November 2007. The practitioner's primary taxonomy code is 208800000X with license number MD22270 (OR). The provider is registered as an organization and their NPI record was last updated 2 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 provider's is doing business as Oregon Urology Alliance. The authorized official of this NPI record is Shelly Banta (Office Manager)

NPI
1437330180
Provider Legal Name
MICHAEL P. GARDNER, MD PC
Other Organization Name
OREGON UROLOGY ALLIANCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
19260 SW 65TH AVE STE 310 TUALATIN, OR 97062
Location Phone
(503) 692-1200
Location Fax
(503) 692-1220
Mailing Address
19260 SW 65TH AVE STE 310 TUALATIN, OR 97062
Mailing Phone
(503) 692-1200
Mailing Fax
(503) 692-1220
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-23-2007
Last Update Date
01-08-2024
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
MD22270
License State
OR
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6500 Individual Connect - EPO
  • Silver 6500 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

SHELLY BANTA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(503) 334-5958

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
288387MEDICAID (05)OR 
288387OTHER (01)OMAP NUMBER

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
38D2015814
Facility Type
Physician Office
Certificate Effective Date
November 04, 2024
Certificate Expiration Date
November 03, 2026
Laboratory Director
MICHAEL P GARNER MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Oregon Urology Alliance 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.

Reviews for OREGON UROLOGY ALLIANCE

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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 1437330180, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 3 → 6 3 → 6 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 6 + 7 + 6 + 3 + 0 + 1 + 1 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1437330180.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center
19260 SW 65TH AVE STE 310
TUALATIN, OR 97062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437330180, enumerated as an "organization" on November 23, 2007.

The provider is located at 19260 SW 65TH AVE STE 310 TUALATIN, OR 97062 and the phone number is (503) 692-1200.

Urology with taxonomy code 208800000X.

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