WOODCREEK PEDIATRICS BY MARY BRIDGE CHILDREN'S
NPI 1700396652
Pediatrics in Puyallup, WA
NPI Status: Active since October 05, 2017
Contact Information
1706 S MERIDIAN STE 120
PUYALLUP, WA
ZIP 98371
Phone: (253) 848-8797
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 50D0932635
- CLIA Cert. Type: Other
- CLIA Exp. Date: 04-04-2028
About WOODCREEK PEDIATRICS BY MARY BRIDGE CHILDREN'S
This page provides the complete NPI Profile along with additional information for Woodcreek Pediatrics By Mary Bridge Children's, a pediatrician established in Puyallup, Washington operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1700396652 assigned on October 2017. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Woodcreek Pediatrics By Mary Bridge Children's operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Woodcreek Pediatrics By Mary Bridge Children's. The authorized official of this NPI record is Anna Loomis (Sr Vp-chief Financial Office)
- NPI
- 1700396652
- Provider Legal Name
- MULTICARE HEALTH SYSTEM
- Other Organization Name
- WOODCREEK PEDIATRICS BY MARY BRIDGE CHILDREN'S
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1706 S MERIDIAN STE 120 PUYALLUP, WA 98371
- Location Phone
- (253) 848-8797
- Mailing Address
- 315 MARTIN LUTHER KING JR WAY TACOMA, WA 98405
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2017
- Last Update Date
- 10-05-2017
- Code Navigator
A pediatrician like Woodcreek Pediatrics By Mary Bridge Children's is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 4 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 5 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 6 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 50D0932635
- Facility Type
- Other
- Certificate Effective Date
- August 25, 1997
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- CALVIN A. KIERUM
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Woodcreek Pediatrics By Mary Bridge Children's after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1700396652, 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.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700396652, enumerated as an "organization" on October 05, 2017.
The provider is located at 1706 S MERIDIAN STE 120 PUYALLUP, WA 98371 and the phone number is (253) 848-8797.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
