WANDERMERE FAMILY MEDICINE LLC
NPI 1730890617
Family Medicine in Spokane, WA

NPI Status: Active since December 12, 2022

Contact Information

309 E FARWELL RD
SPOKANE, WA
ZIP 99218
Phone: (509) 474-9838
Fax: (509) 474-9843

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  • Organization
  • Family Medicine
  • CLIA Number: 50D2272551
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About WANDERMERE FAMILY MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Wandermere Family Medicine Llc, a primary care provider established in Spokane, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1730890617 assigned on December 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 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 Neil Golan Md (Owner)

NPI
1730890617
Provider Name
WANDERMERE FAMILY MEDICINE LLC
Entity Type
Organization
Location Address
309 E FARWELL RD SPOKANE, WA 99218
Location Phone
(509) 474-9838
Location Fax
(509) 474-9843
Mailing Address
909 E HARDING DR SPOKANE, WA 99218
Mailing Phone
(509) 474-9838
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2022
Last Update Date
12-12-2022
Code Navigator

A primary care provider (PCP) like Wandermere Family Medicine Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

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

NEIL GOLAN MD

Authorized Official Title
OWNER
Authorized Official Phone
(509) 474-9838

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
50D2272551
Facility Type
Physician Office
Certificate Effective Date
November 22, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
NEIL GOLAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wandermere Family Medicine Llc 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 1730890617, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 1 + 6 + 9 + 0 + 6 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1730890617.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Massage Therapist
309 E FARWELL RD, 206
SPOKANE, WA 99218
Internal Medicine (Medical Oncology)
309 E FARWELL RD, SUITE 100
SPOKANE, WA 99218
Specialist/Technologist (Athletic Trainer)
309 E FARWELL RD
SPOKANE, WA 99218
Psychiatry & Neurology (Neurology)
309 E FARWELL RD, SUITE 204
SPOKANE, WA 99218
Clinic/Center (Occupational Medicine)
309 E FARWELL RD, SUITE204
SPOKANE, WA 99218
Physician Assistant
309 E FARWELL RD, STE 204
SPOKANE, WA 99218
Family Medicine
309 E FARWELL RD, STE 204
SPOKANE, WA 99218
Family Medicine
309 E FARWELL RD, 204
SPOKANE, WA 99218
Physical Therapist
309 E FARWELL RD, STE 104
SPOKANE, WA 99218
Psychiatry & Neurology (Psychiatry)
309 E FARWELL RD
SPOKANE, WA 99218
Internal Medicine (Hematology & Oncology)
309 E FARWELL RD, SUITE 100
SPOKANE, WA 99218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730890617, enumerated as an "organization" on December 12, 2022.

The provider is located at 309 E FARWELL RD SPOKANE, WA 99218 and the phone number is (509) 474-9838.

Family Medicine with taxonomy code 207Q00000X.