PACIFIC ENDOMETRIOSIS AND PELVIC SURGERY
NPI 1508227448
Clinic/Center in Gig Harbor, WA

NPI Status: Active since March 18, 2016

Contact Information

11505 BURNHAM DR
STE #302
GIG HARBOR, WA
ZIP 98332
Phone: (253) 313-5997
Fax: (253) 313-5179

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  • Organization
  • Clinic/Center
  • CLIA Number: 50D2117634
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About PACIFIC ENDOMETRIOSIS AND PELVIC SURGERY

This page provides the complete NPI Profile along with additional information for Pacific Endometriosis And Pelvic Surgery, a provider established in Gig Harbor, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1508227448 assigned on March 2016. The practitioner's primary taxonomy code is 261Q00000X with license number 60016675 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Pacific Endometriosis And Pelvic Surgery. The authorized official of this NPI record is Dr. Cindy Marie Mosbrucker M.d. (Owner)

NPI
1508227448
Provider Legal Name
CINDY M MOSBRUCKER, PLLC
Other Organization Name
PACIFIC ENDOMETRIOSIS AND PELVIC SURGERY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
11505 BURNHAM DR STE #302 GIG HARBOR, WA 98332
Location Phone
(253) 313-5997
Location Fax
(253) 313-5179
Mailing Address
11505 BURNHAM DR STE #302 GIG HARBOR, WA 98332
Mailing Phone
(253) 313-5997
Mailing Fax
(253) 313-5179
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2016
Last Update Date
11-02-2023
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
60016675
License State
WA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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. CINDY MARIE MOSBRUCKER M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(253) 313-5997

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
50D2117634
Facility Type
Physician Office
Certificate Effective Date
August 19, 2016
Certificate Expiration Date
April 04, 2028
Laboratory Director
LINDSEY M. CLARK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pacific Endometriosis And Pelvic Surgery 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.

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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 1508227448, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
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 0 → 0 2 → 4 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 4 + 2 + 1 + 4 + 4 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1508227448.

Other Providers at the Same Location


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

Massage Therapist
11505 BURNHAM DR
GIG HARBOR, WA 98332

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508227448, enumerated as an "organization" on March 18, 2016.

The provider is located at 11505 BURNHAM DR STE #302 GIG HARBOR, WA 98332 and the phone number is (253) 313-5997.

Clinic/Center with taxonomy code 261Q00000X.