RAINIER PEDIATRICS, INC
NPI 1720498280
Pediatrics - Adolescent Medicine in Puyallup, WA

NPI Status: Active since May 05, 2014

Contact Information

12904 94TH AVE E
PUYALLUP, WA
ZIP 98373
Phone: (253) 841-3999
Fax: (253) 841-7311

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  • Organization
  • Pediatrics
  • Adolescent Medicine
  • Accepts Insurance
  • CLIA Number: 50D0635574
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About RAINIER PEDIATRICS, INC

This page provides the complete NPI Profile along with additional information for Rainier Pediatrics, Inc, a pediatrician established in Puyallup, Washington operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1720498280 assigned on May 2014. The practitioner's primary taxonomy code is 2080A0000X with license number MD00014726 (WA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Michael L Pearson M.d. (President/owner)

NPI
1720498280
Provider Name
RAINIER PEDIATRICS, INC
Entity Type
Organization
Location Address
12904 94TH AVE E PUYALLUP, WA 98373
Location Phone
(253) 841-3999
Location Fax
(253) 841-7311
Mailing Address
12904 94TH AVE E PUYALLUP, WA 98373
Mailing Phone
(253) 841-3999
Mailing Fax
(253) 841-7311
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2014
Last Update Date
05-05-2014
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A pediatrician like Rainier Pediatrics, Inc 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 Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00014726
License State
WA
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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:

  • 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. MICHAEL L PEARSON M.D.

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(253) 732-5508

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
1000303437OTHER (01)WAEHR NLR REGISTRATION NUMBER
1069103MEDICAID (05)WA 
601845065OTHER (01)WAUBI
2080A0000XOTHER (01)TAXONOMY CODE

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
50D0635574
Facility Type
Physician Office
Certificate Effective Date
August 14, 1998
Certificate Expiration Date
April 04, 2028
Laboratory Director
MICHAEL L. PEARSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rainier Pediatrics, Inc 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.

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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 1720498280, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 8 + 9 + 1 + 6 + 2 + 1 + 6 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1720498280.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720498280, enumerated as an "organization" on May 05, 2014.

The provider is located at 12904 94TH AVE E PUYALLUP, WA 98373 and the phone number is (253) 841-3999.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

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.