OPTUM - SILVER LAKE
NPI 1457403719
Durable Medical Equipment & Medical Supplies in Everett, WA

NPI Status: Active since January 17, 2007

Contact Information

1818 121ST ST SE
EVERETT, WA
ZIP 98208
Phone: (425) 357-3300

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 50D0892583
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About OPTUM - SILVER LAKE

This page provides the complete NPI Profile along with additional information for Optum - Silver Lake, a provider established in Everett, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1457403719 assigned on January 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Optum - Silver Lake. The authorized official of this NPI record is Dr. George Go Md (Board President)

NPI
1457403719
Provider Legal Name
OPTUM CARE WASHINGTON PLLC
Other Organization Name
OPTUM - SILVER LAKE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1818 121ST ST SE EVERETT, WA 98208
Location Phone
(425) 357-3300
Mailing Address
PO BOX 5127 EVERETT, WA 98206
Mailing Phone
(425) 357-3300
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-17-2007
Last Update Date
04-09-2024
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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)
1291U00000XLaboratories

Clinical Medical Laboratory

50D0892583 (WA)

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

DR. GEORGE GO MD

Authorized Official Title
BOARD PRESIDENT
Authorized Official Phone
(425) 259-0966

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
33000OTHER (01)WAL&I
7776503MEDICAID (05)WA 

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
50D0892583
Facility Type
Physician Office
Certificate Effective Date
October 04, 1994
Certificate Expiration Date
April 04, 2028
Laboratory Director
SARA NELSON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Optum - Silver Lake after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for OPTUM - SILVER LAKE

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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.
1457403719
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410780672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 8 + 0 + 6 + 7 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1457403719 is valid because the calculated check digit 9 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.

JANE HOWARD

Internal Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3305

KATHRYN OLSON MD

Internal Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3301

DAVID DICKEY MD

Internal Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3301

SUSAN A CARTER

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3301

ALAN E CARTER

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3304

DR. OANA MARCU DO

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3304

JAMES INBOK KIM MD

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3304

JODY B FRIDAY PA-C

Physician Assistant

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3305

HARLAN ROUNTREE MD

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3305

DAVID LUBA MD

Pediatrics

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3302

KIN L LUI M.D.

Internal Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3301

REBECCA R SELLERS DO

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3304

TANIA MARTINEZ-LEMKE MD

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3304

DR. LEAH E HASTINGS D.O.

Pediatrics

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3300

LUIS NINO ENRIQUEZ MD

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3304

DR. EMILY H CHENG MD

Internal Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3300

SARA NELSON MD

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3304

MICHAEL E CASTRO RT

Radiology

(Diagnostic Radiology)

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3388

AUSTIN BUCK

Family Medicine

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3304

ALANA BRIANNE BECK

Nurse Practitioner

1818 121ST ST SE
EVERETT, WA
ZIP 98208

(425) 357-3310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457403719, enumerated as an "organization" on January 17, 2007.

The provider is located at 1818 121ST ST SE EVERETT, WA 98208 and the phone number is (425) 357-3300.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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