PACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC
NPI 1730456971
Specialist in Olympia, WA
NPI Status: Active since November 16, 2011
Contact Information
200 LILLY RD NE
STE. C-2
OLYMPIA, WA
ZIP 98506
Phone: (360) 412-3120
Fax: (360) 412-1046
- Organization
- Specialist
About PACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC
This page provides the complete NPI Profile along with additional information for Pacific Surgical Weight Loss Center, Pllc, a provider established in Olympia, Washington operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1730456971 assigned on November 2011. The practitioner's primary taxonomy code is 174400000X with license number MD00036124 (WA). The provider is registered as an organization and their NPI record was last updated 14 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 provider's is doing business as Pacific Surgical Weight Loss Center, Pllc. The authorized official of this NPI record is Mrs. Jackie Henderson (Insurance Staff)
- NPI
- 1730456971
- Provider Legal Name
- PACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC
- Other Organization Name
- PACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 200 LILLY RD NE STE. C-2 OLYMPIA, WA 98506
- Location Phone
- (360) 412-3120
- Location Fax
- (360) 412-1046
- Mailing Address
- 200 LILLY RD NE SUITE C-2 OLYMPIA, WA 98506
- Mailing Phone
- (360) 412-3120
- Mailing Fax
- (360) 412-1046
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2011
- Last Update Date
- 11-16-2011
- Code Navigator
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD00036124
- License State
- WA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
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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 | 7 | 3 | 0 | 4 | 5 | 6 | 9 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 8 | 5 | 12 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 8 + 5 + 1 + 2 + 9 + 1 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1730456971 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
JULIE A DYBBRO ARNP
Nurse Practitioner
(Family)
200 LILLY RD NE
SUITE B2
OLYMPIA, WA
ZIP 98506
STEPHINE A HEITKEMPER ARNP
Nurse Practitioner
(Women's Health)
200 LILLY RD NE
BLDG 2
OLYMPIA, WA
ZIP 98506
JULIE A DYBBRO ARNP LLC
Nurse Practitioner
(Adult Health)
200 LILLY RD NE
STE B2
OLYMPIA, WA
ZIP 98506
MRS. TRACEY LOUISE CHIRGWIN LMP
Massage Therapist
200 LILLY RD NE
B3
OLYMPIA, WA
ZIP 98506
MICHELE N HARRIAGE ARNP
Nurse Practitioner
(Obstetrics & Gynecology)
200 LILLY RD NE
BLDG 2
OLYMPIA, WA
ZIP 98506
NICHOLE E ELIASON NUTRITIONAL THERAPY
Nutritionist
200 LILLY RD NE
BLDG B
OLYMPIA, WA
ZIP 98506
LEIA K DAVIS
Case Manager/Care Coordinator
200 LILLY RD NE
OLYMPIA, WA
ZIP 98506
MR. JORDAN INTEAUS MORRIS MA, LMHC, MHP
Counselor
(Mental Health)
200 LILLY RD NE
OLYMPIA, WA
ZIP 98506
NICOLE RENE GEORGE NCC, LMHC-A
Counselor
(Mental Health)
200 LILLY RD NE
OLYMPIA, WA
ZIP 98506
JUDITH ANN MURRAY
Counselor
(Mental Health)
200 LILLY RD NE
NORTHWEST RESOURCES BLDG C
OLYMPIA, WA
ZIP 98506
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730456971, enumerated as an "organization" on November 16, 2011.
The provider is located at 200 LILLY RD NE STE. C-2 OLYMPIA, WA 98506 and the phone number is (360) 412-3120.
Specialist with taxonomy code 174400000X.
