EASTSIDE MEDICAL GROUP, LLC
NPI 1750709358
Clinic/Center - Ambulatory Surgical in Issaquah, WA
NPI Status: Active since April 01, 2014
Contact Information
1301 4TH AVE NW
ISSAQUAH, WA
ZIP 98027
Phone: (425) 270-3713
Fax: (425) 295-7557
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 50D2078838
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-04-2028
About EASTSIDE MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Eastside Medical Group, Llc, a provider established in Issaquah, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1750709358 assigned on April 2014. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Robert Howie (Treasurer)
- NPI
- 1750709358
- Provider Name
- EASTSIDE MEDICAL GROUP, LLC
- Entity Type
- Organization
- Location Address
- 1301 4TH AVE NW ISSAQUAH, WA 98027
- Location Phone
- (425) 270-3713
- Location Fax
- (425) 295-7557
- Mailing Address
- 1301 4TH AVE NW SUITE 201 ISSAQUAH, WA 98027
- Mailing Phone
- (425) 270-3713
- Mailing Fax
- (425) 295-7557
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-01-2014
- Last Update Date
- 01-18-2017
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
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 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complex removal of cataract with insertion of prosthetic lens
Laser repair to improve eye fluid flow
Removal of cataract with insertion of prosthetic lens
Removal of multiple hemorrhoid groups
Removal of recurring cataract in lens capsule using a laser
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
This service was performed 42 times for 33 patientsLaser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
This service was performed 38 times for 27 patientsThis is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
This service was performed 451 times for 273 patientsThis procedure involves removing multiple groups of swollen veins in your lower rectum area. It's usually done under anesthesia. The aim is to alleviate discomfort and prevent complications. Recovery may take a few weeks with specific care instructions to follow.
This service was performed 11 times for 11 patientsThis procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
This service was performed 117 times for 85 patientsCLIA 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
- 50D2078838
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- June 04, 2014
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- MICHAEL RIZEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eastside Medical Group, 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 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 | 5 | 0 | 7 | 0 | 9 | 3 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 0 | 18 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 0 + 1 + 8 + 3 + 1 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1750709358 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
PHYSIOTHERAPY ASSOCIATE INC
Clinic/Center
(Rehabilitation)
1301 4TH AVE NW
SUITE 300
ISSAQUAH, WA
ZIP 98027
DR. RAMANDEEP SINGH SIDHU MD
Surgery
(Vascular Surgery)
1301 4TH AVE NW
302
ISSAQUAH, WA
ZIP 98027
REID M. KUETHER PT
Physical Therapist
1301 4TH AVE NW
SUITE 300
ISSAQUAH, WA
ZIP 98027
EYE INSTITUTE, PC
Ophthalmology
1301 4TH AVE NW
SUITE 200
ISSAQUAH, WA
ZIP 98027
VIVAA PLLC
Surgery
(Vascular Surgery)
1301 4TH AVE NW
SUITE: 302
ISSAQUAH, WA
ZIP 98027
THE EASTSIDE ENDOSCOPY CENTER, LLC
Clinic/Center
(Ambulatory Surgical)
1301 4TH AVE NW
STE 301
ISSAQUAH, WA
ZIP 98027
PHENIX PHYSICAL THERAPY & PERSONAL WELLNESS, LLC
Physical Therapist
1301 4TH AVE NW
SUITE 300
ISSAQUAH, WA
ZIP 98027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750709358, enumerated as an "organization" on April 01, 2014.
The provider is located at 1301 4TH AVE NW ISSAQUAH, WA 98027 and the phone number is (425) 270-3713.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: PacificSource Health Plans and Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.
