NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC
NPI 1477640779
Podiatrist in Everett, WA

NPI Status: Active since October 06, 2006

Contact Information

10821 19TH AVE SE
EVERETT, WA
ZIP 98208
Phone: (425) 337-7000
Fax: (425) 338-2408

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  • Organization
  • Podiatrist
  • CLIA Number: 50D0977101
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC

This page provides the complete NPI Profile along with additional information for Northwest Foot And Ankle Physicians And Surgeons, Llc, a provider established in Everett, Washington operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1477640779 assigned on October 2006. The practitioner's primary taxonomy code is 213E00000X with license number P0725 (WA). The provider is registered as an organization and their NPI record was last updated 11 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 authorized official of this NPI record is Mr. Gordon Suichi Nishimoto Dpm (President)

NPI
1477640779
Provider Name
NORTHWEST FOOT AND ANKLE PHYSICIANS AND SURGEONS, LLC
Entity Type
Organization
Location Address
10821 19TH AVE SE EVERETT, WA 98208
Location Phone
(425) 337-7000
Location Fax
(425) 338-2408
Mailing Address
10821 19TH AVE SE EVERETT, WA 98208
Mailing Phone
(425) 337-7000
Mailing Fax
(425) 338-2408
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2006
Last Update Date
05-21-2015
Code Navigator

A podiatrist like Northwest Foot And Ankle Physicians And Surgeons, Llc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

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

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
P0725
License State
WA
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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:

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. GORDON SUICHI NISHIMOTO DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(425) 337-7000

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
4965350001MEDICARE NSC (07)WA 
AB29341MEDICARE PIN (08)WA 
7138191MEDICAID (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
50D0977101
Facility Type
Physician Office
Certificate Effective Date
August 21, 2000
Certificate Expiration Date
April 04, 2028
Laboratory Director
FRANK VIRANT
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Northwest Foot And Ankle Physicians And Surgeons, Llc 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.

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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 1477640779, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 7 → 14 → 5 6 → 12 → 3 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 1 + 2 + 4 + 0 + 7 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1477640779.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Therapist
10821 19TH AVE SE
EVERETT, WA 98208
Podiatrist (Foot & Ankle Surgery)
10821 19TH AVE SE
EVERETT, WA 98208
Physical Therapist
10821 19TH AVE SE
EVERETT, WA 98208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477640779, enumerated as an "organization" on October 06, 2006.

The provider is located at 10821 19TH AVE SE EVERETT, WA 98208 and the phone number is (425) 337-7000.

Podiatrist with taxonomy code 213E00000X.

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