EASTSIDE FOOT AND ANKLE
NPI 1669884003
Podiatrist - Foot & Ankle Surgery in Portland, OR
NPI Status: Active since May 20, 2014
Contact Information
1827 NE 44TH AVE STE 100
PORTLAND, OR
ZIP 97213
Phone: (503) 284-2000
Fax: (503) 284-2002
- Organization
- Podiatrist
- Foot & Ankle Surgery
- Accepts Insurance
About EASTSIDE FOOT AND ANKLE
This page provides the complete NPI Profile along with additional information for Eastside Foot And Ankle, a provider established in Portland, Oregon operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1669884003 assigned on May 2014. The practitioner's primary taxonomy code is 213ES0103X with license number DP00435 (OR). The provider is registered as an organization and their NPI record was last updated 4 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 authorized official of this NPI record is Dr. Brian Bowen Dpm (Podiatrist/owner)
- NPI
- 1669884003
- Provider Name
- EASTSIDE FOOT AND ANKLE
- Entity Type
- Organization
- Location Address
- 1827 NE 44TH AVE STE 100 PORTLAND, OR 97213
- Location Phone
- (503) 284-2000
- Location Fax
- (503) 284-2002
- Mailing Address
- 1827 NE 44TH AVE STE 100 PORTLAND, OR 97213
- Mailing Phone
- (503) 284-2000
- Mailing Fax
- (503) 284-2002
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2014
- Last Update Date
- 12-13-2021
- Code Navigator
Location Map
Secondary Locations
- 24076 SE Stark St Ste 320
Gresham, OR 97030
(503) 284-2000 - 12672 NW Barnes Rd Ste 100
Portland, OR 97229
(503) 284-2000
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
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- DP00435
- License State
- OR
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:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6200 Individual and Family Network - EPO
- Silver 6200 Legacy - EPO
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 |
|---|---|---|---|
| 500607151 | MEDICAID (05) | OR |
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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 | 6 | 9 | 8 | 8 | 4 | 0 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 8 | 8 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 8 + 8 + 0 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1669884003 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
DR. COLIN MATTHEW MIZUO DPM
Podiatrist
1827 NE 44TH AVE STE 100
PORTLAND, OR
ZIP 97213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669884003, enumerated as an "organization" on May 20, 2014.
The provider is located at 1827 NE 44TH AVE STE 100 PORTLAND, OR 97213 and the phone number is (503) 284-2000.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
