WESTERN WA MEDICAL GROUP, DEPT OF PRIMARY CARE
NPI 1649498049
Family Medicine in Everett, WA
NPI Status: Active since April 23, 2007
Contact Information
4225 HOYT AVE STE D
EVERETT, WA
ZIP 98203
Phone: (425) 317-8025
Fax: (425) 317-9516
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 50D0994600
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About WESTERN WA MEDICAL GROUP, DEPT OF PRIMARY CARE
This page provides the complete NPI Profile along with additional information for Western Wa Medical Group, Dept Of Primary Care, a primary care provider established in Everett, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1649498049 assigned on April 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 601474013 (WA). The provider is registered as an organization and their NPI record was last updated 2 years ago. Western Wa Medical Group, Dept Of Primary Care operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Western Wa Medical Group, Dept Of Primary Care. The authorized official of this NPI record is Amelia Edens (Director Of Patient Financial Svcs)
- NPI
- 1649498049
- Provider Legal Name
- WESTERN WASHINGTON MEDICAL GROUP, INC PS
- Other Organization Name
- WESTERN WA MEDICAL GROUP, DEPT OF PRIMARY CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4225 HOYT AVE STE D EVERETT, WA 98203
- Location Phone
- (425) 317-8025
- Location Fax
- (425) 317-9516
- Mailing Address
- 1728 W MARINE VIEW DR STE 110 EVERETT, WA 98201
- Mailing Phone
- (425) 317-8025
- Mailing Fax
- (425) 317-9516
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-23-2007
- Last Update Date
- 08-08-2023
- Code Navigator
A primary care provider (PCP) like Western Wa Medical Group, Dept Of Primary Care 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
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 601474013
- License State
- WA
- 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 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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
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.
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.
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 |
|---|---|---|---|
| 0176782 | OTHER (01) | WA | LABOR & INDUSTRY |
| CB3566 | OTHER (01) | WA | RAILROAD MEDICARE |
| 7108012 | MEDICAID (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
- 50D0994600
- Facility Type
- Physician Office
- Certificate Effective Date
- January 28, 2014
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- DAVID O. LINDSTROM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Western Wa Medical Group, Dept Of Primary Care 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.
Reviews for WESTERN WA MEDICAL GROUP, DEPT OF PRIMARY CARE
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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 | 6 | 4 | 9 | 4 | 9 | 8 | 0 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 8 | 9 | 16 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 8 + 9 + 1 + 6 + 0 + 8 + 24 = 81 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 81 = 9 | 9 | ||||||||
The NPI number 1649498049 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
AARON DAVID WRIGHT DMD
Dentist
(General Practice)
4225 HOYT AVE STE D
EVERETT, WA
ZIP 98203
DR.WILLIAM PATRICK BRUST
Dentist
4225 HOYT AVE STE D
EVERETT, WA
ZIP 98203
MS. CHRISTINA MAY NELSON ARNP
Nurse Practitioner
(Family)
4225 HOYT AVE STE D
EVERETT, WA
ZIP 98203
MR. MATTHEW S HAUSWALD PA-C
Physician Assistant
4225 HOYT AVE STE D
EVERETT, WA
ZIP 98203
MS. VERONICA JEANNE WALTERS APRN BC
Nurse Practitioner
(Family)
4225 HOYT AVE STE D
EVERETT, WA
ZIP 98203
SARAH GATTIS ARNP
Nurse Practitioner
(Family)
4225 HOYT AVE STE D
EVERETT, WA
ZIP 98203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649498049, enumerated as an "organization" on April 23, 2007.
The provider is located at 4225 HOYT AVE STE D EVERETT, WA 98203 and the phone number is (425) 317-8025.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to verify.
