OLYMPIA INTEGRATIVE MEDICINE
NPI 1518599273
Family Medicine - Adult Medicine in Olympia, WA

NPI Status: Active since February 10, 2020

Contact Information

2610 YELM HWY SE
OLYMPIA, WA
ZIP 98501
Phone: (360) 870-2011
Fax: (360) 925-3136

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  • Organization
  • Family Medicine
  • Adult Medicine
  • Accepts Insurance
  • CLIA Number: 50D2197876
  • CLIA Cert. Type: Other - CLINIC
  • CLIA Exp. Date: 04-04-2028

About OLYMPIA INTEGRATIVE MEDICINE

This page provides the complete NPI Profile along with additional information for Olympia Integrative Medicine, a primary care provider established in Olympia, Washington operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1518599273 assigned on February 2020. The practitioner's primary taxonomy code is 207QA0505X. The provider is registered as an organization and their NPI record was last updated 5 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 Olympia Integrative Medicine. The authorized official of this NPI record is Thomas Etherton Np-c (President)

NPI
1518599273
Provider Legal Name
ETHERTON, INC
Other Organization Name
OLYMPIA INTEGRATIVE MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2610 YELM HWY SE OLYMPIA, WA 98501
Location Phone
(360) 870-2011
Location Fax
(360) 925-3136
Mailing Address
2610 YELM HWY SE OLYMPIA, WA 98501
Mailing Phone
(360) 915-9389
Mailing Fax
(360) 925-3136
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2020
Last Update Date
02-23-2021
Code Navigator

A primary care provider (PCP) like Olympia Integrative Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

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:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*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

THOMAS ETHERTON NP-C

Authorized Official Title
PRESIDENT
Authorized Official Phone
(360) 915-9389

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
50D2197876
Facility Type
Other - CLINIC
Certificate Effective Date
October 28, 2020
Certificate Expiration Date
April 04, 2028
Laboratory Director
TOM ETHERTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Olympia Integrative Medicine 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 1518599273, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 1 → 2 5 → 10 → 1 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 2 + 8 + 1 + 0 + 9 + 1 + 8 + 2 + 1 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1518599273.

Other Providers at the Same Location


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

Clinic/Center (Health Service)
2610 YELM HWY SE
OLYMPIA, WA 98501
Nurse Practitioner (Primary Care)
2610 YELM HWY SE
OLYMPIA, WA 98501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518599273, enumerated as an "organization" on February 10, 2020.

The provider is located at 2610 YELM HWY SE OLYMPIA, WA 98501 and the phone number is (360) 870-2011.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.