EVERGREEN SURGICAL CENTER
NPI 1689655334
Clinic/Center - Ambulatory Surgical in Kirkland, WA

NPI Status: Active since November 09, 2005

Contact Information

12333 NE 130TH LN
SUITE 500
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-5656
Fax: (425) 899-5638

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance

About EVERGREEN SURGICAL CENTER

This page provides the complete NPI Profile along with additional information for Evergreen Surgical Center, a provider established in Kirkland, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1689655334 assigned on November 2005. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Evergreen Surgical Center. The authorized official of this NPI record is Dr. Jeff Tomlin M.d. (Executive Director)

NPI
1689655334
Provider Legal Name
EVERGREEN SURGERY CENTER, LLC
Other Organization Name
EVERGREEN SURGICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12333 NE 130TH LN SUITE 500 KIRKLAND, WA 98034
Location Phone
(425) 899-5656
Location Fax
(425) 899-5638
Mailing Address
12333 NE 130TH LN SUITE 500 KIRKLAND, WA 98034
Mailing Phone
(425) 899-5656
Mailing Fax
(425) 899-5638
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2005
Last Update Date
09-20-2007
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
WA

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

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.

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

DR. JEFF TOMLIN M.D.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(425) 899-5656

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
GAB37941MEDICARE PIN (08)WA 
7123631MEDICAID (05)WA 

Reviews for EVERGREEN SURGICAL CENTER

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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 1689655334, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 2 + 5 + 1 + 0 + 3 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1689655334.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Practice
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Nurse Practitioner (Adult Health)
12333 NE 130TH LN, SUITE 225
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Clinic/Center (Ambulatory Surgical)
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Physician Assistant (Surgical)
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Genetic Counselor, MS
12333 NE 130TH LN, TAN 240
KIRKLAND, WA 98034
Nurse Practitioner
12333 NE 130TH LN, #302
KIRKLAND, WA 98034
Anesthesiology
12333 NE 130TH LN
KIRKLAND, WA 98034
Anesthesiology
12333 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
Anesthesiology
12333 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
Anesthesiology
12333 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
Internal Medicine
12333 NE 130TH LN, STE 310
KIRKLAND, WA 98034
Obstetrics & Gynecology
12333 NE 130TH LN, #110
KIRKLAND, WA 98034
Obstetrics & Gynecology
12333 NE 130TH LN, #110
KIRKLAND, WA 98034
Obstetrics & Gynecology
12333 NE 130TH LN, #110
KIRKLAND, WA 98034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689655334, enumerated as an "organization" on November 09, 2005.

The provider is located at 12333 NE 130TH LN SUITE 500 KIRKLAND, WA 98034 and the phone number is (425) 899-5656.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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