GENESIS MEDICAL GROUP, LLC.
NPI 1457517138
Prosthetic/Orthotic Supplier in Lake Oswego, OR

NPI Status: Active since August 01, 2008

Contact Information

16679 BOONES FERRY RD STE 215
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 699-1911
Fax: (503) 699-1912

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Accepts Insurance

About GENESIS MEDICAL GROUP, LLC.

This page provides the complete NPI Profile along with additional information for Genesis Medical Group, Llc., a provider established in Lake Oswego, Oregon operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1457517138 assigned on August 2008. The practitioner's primary taxonomy code is 335E00000X with license number 1355445-0 (OR). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Wyatt James Brown Cped (Director Of Operation)

NPI
1457517138
Provider Name
GENESIS MEDICAL GROUP, LLC.
Entity Type
Organization
Location Address
16679 BOONES FERRY RD STE 215 LAKE OSWEGO, OR 97035
Location Phone
(503) 699-1911
Location Fax
(503) 699-1912
Mailing Address
16679 BOONES FERRY RD STE 215 LAKE OSWEGO, OR 97035
Mailing Phone
(503) 699-1911
Mailing Fax
(503) 699-1912
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2008
Last Update Date
04-03-2012
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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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
1355445-0
License State
OR
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Insurance Plans Accepted

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

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - 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.

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

MR. WYATT JAMES BROWN CPED

Authorized Official Title
DIRECTOR OF OPERATION
Authorized Official Phone
(503) 699-1911

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
081911000OTHER (01)ORBLUE CROSS BLUE SHIELD
500608071MEDICAID (05)OR 
6179510001MEDICARE NSC (07)OR 

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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 1457517138, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 0 + 1 + 1 + 4 + 1 + 6 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1457517138.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
16679 BOONES FERRY RD STE 215
LAKE OSWEGO, OR 97035
Dentist (General Practice)
16679 BOONES FERRY RD STE 215
LAKE OSWEGO, OR 97035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457517138, enumerated as an "organization" on August 01, 2008.

The provider is located at 16679 BOONES FERRY RD STE 215 LAKE OSWEGO, OR 97035 and the phone number is (503) 699-1911.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

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