EASTSIDE PODIATRY ASC
NPI 1740408293
Clinic/Center - Ambulatory Surgical in Bellevue, WA

NPI Status: Active since April 22, 2007

Contact Information

2950 NORTHUP WAY
SUITE 115
BELLEVUE, WA
ZIP 98004
Phone: (425) 893-8100
Fax: (425) 893-8111

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

About EASTSIDE PODIATRY ASC

This page provides the complete NPI Profile along with additional information for Eastside Podiatry Asc, a provider established in Bellevue, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1740408293 assigned on April 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 301 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Eastside Podiatry Asc. The authorized official of this NPI record is Dr. Tae Soon Park D.p.m. (Medical Director)

NPI
1740408293
Provider Legal Name
METROLIANCE FOOT AND ANKLE GROUP
Other Organization Name
EASTSIDE PODIATRY ASC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2950 NORTHUP WAY SUITE 115 BELLEVUE, WA 98004
Location Phone
(425) 893-8100
Location Fax
(425) 893-8111
Mailing Address
2950 NORTHUP WAY SUITE 115 BELLEVUE, WA 98004
Mailing Phone
(425) 893-8100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2007
Last Update Date
09-28-2015
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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 No.
301
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. TAE SOON PARK D.P.M.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(425) 893-8100

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
217000039MEDICARE ID-TYPE UNSPECIFIED (04)WA 

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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 1740408293, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 4 → 8 4 → 8 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 8 + 0 + 1 + 6 + 2 + 1 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1740408293.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine
2950 NORTHUP WAY, SUITE 210
BELLEVUE, WA 98004
Surgery (Plastic and Reconstructive Surgery)
2950 NORTHUP WAY, SUITE 100
BELLEVUE, WA 98004
Podiatrist (Foot & Ankle Surgery)
2950 NORTHUP WAY, SUITE 115
BELLEVUE, WA 98004
Podiatrist (Foot & Ankle Surgery)
2950 NORTHUP WAY, SUITE #115
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740408293, enumerated as an "organization" on April 22, 2007.

The provider is located at 2950 NORTHUP WAY SUITE 115 BELLEVUE, WA 98004 and the phone number is (425) 893-8100.

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.