EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1619508702
Prosthetic/Orthotic Supplier in Meridian, ID
NPI Status: Active since January 28, 2020
Contact Information
1500 E HERITAGE PARK ST STE 100
MERIDIAN, ID
ZIP 83646
Phone: (208) 884-1294
Fax: (208) 884-1293
- Organization
- Prosthetic/Orthotic Supplier
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
This page provides the complete NPI Profile along with additional information for Evergreen Prosthetics And Orthotics, Llc, a provider established in Meridian, Idaho operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1619508702 assigned on January 2020. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Timothy L O'neill Cpo (President)
- NPI
- 1619508702
- Provider Name
- EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
- Entity Type
- Organization
- Location Address
- 1500 E HERITAGE PARK ST STE 100 MERIDIAN, ID 83646
- Location Phone
- (208) 884-1294
- Location Fax
- (208) 884-1293
- Mailing Address
- 911 MAIN ST STE 100 OREGON CITY, OR 97045
- Mailing Phone
- (503) 765-5081
- Mailing Fax
- (208) 884-1293
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-28-2020
- Last Update Date
- 11-22-2023
- Code Navigator
Evergreen Prosthetics And Orthotics, Llc is a medicare supplier with PTAN 20331839 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Contracture Treatment Devices: Dynamic Splint or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- 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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20331839
- Accepts Medicare Assignment
- NO
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
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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 1619508702, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619508702, enumerated as an "organization" on January 28, 2020.
The provider is located at 1500 E HERITAGE PARK ST STE 100 MERIDIAN, ID 83646 and the phone number is (208) 884-1294.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
