EVERGREEN MEDICAL GROUP DUVALL
NPI 1568563732
Family Medicine in Duvall, WA
NPI Status: Active since September 26, 2006
Contact Information
14720 MAIN ST NE
STE 109
DUVALL, WA
ZIP 98019
Phone: (425) 788-4889
Fax: (425) 844-6116
- Organization
- Family Medicine
About EVERGREEN MEDICAL GROUP DUVALL
Evergreen Medical Group Duvall is a primary care provider established in Duvall, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1568563732 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Evergreen Medical Group Duvall. The authorized official of this NPI record is Robert Malte (Ceo)
- NPI
- 1568563732
- Provider Legal Name
- PUBLIC HOSPITAL DISTRICT NO 2
- Other Organization Name
- EVERGREEN MEDICAL GROUP DUVALL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 14720 MAIN ST NE STE 109 DUVALL, WA 98019
- Location Phone
- (425) 788-4889
- Location Fax
- (425) 844-6116
- Mailing Address
- PO BOX 34036 SEATTLE, WA 98124
- Mailing Phone
- (425) 899-3292
- Mailing Fax
- (425) 844-6116
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-26-2006
- Last Update Date
- 01-04-2011
- Code Navigator
A primary care provider (PCP) like Evergreen Medical Group Duvall 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 .
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
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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:
Railroad Medicare
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| CG8137 | OTHER (01) | WA | MEDICARE RAILROAD |
| CQ2437 | OTHER (01) | WA | MEDICARE RAILROAD |
| CG2833 | OTHER (01) | WA | MEDICARE RAILROAD |
| 7110562 | MEDICAID (05) | WA | |
| G217120700 | MEDICARE PIN (08) | WA | |
| CJ9678 | OTHER (01) | WA | MEDICARE RAILROAD |
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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. | |||||||||
| 1 | 5 | 6 | 8 | 5 | 6 | 3 | 7 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 10 | 6 | 6 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 0 + 6 + 6 + 7 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1568563732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821070285 | DR. SHERMAN LEE MD Individual | Family Medicine | 14720 MAIN ST NE SUITE 109 DUVALL, WA 98019 (425) 788-4889 |
| 1851497549 | MR. KYLE THOMAS KREKOW PA-C Individual | Physician Assistant | 14720 MAIN ST NE SUITE 109 DUVALL, WA 98019 (425) 788-4889 |
| 1962503235 | KRISTI S. MOFFAT MD Individual | Family Medicine | 14720 MAIN ST NE SUITE 109 DUVALL, WA 98019 (425) 788-4889 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568563732, enumerated in the NPI registry as an "organization" on September 26, 2006
The provider is located at 14720 Main St Ne Ste 109 Duvall, Wa 98019 and the phone number is (425) 788-4889
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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