BAINBRIDGE PEDIATRICS, PLLC
NPI 1851424931
Pediatrics - Adolescent Medicine in Bainbridge Island, WA

NPI Status: Active since March 14, 2007

Contact Information

1298 GROW AVE NW
BAINBRIDGE ISLAND, WA
ZIP 98110
Phone: (206) 780-5437
Fax: (206) 780-5438

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  • Organization
  • Pediatrics
  • Adolescent Medicine
  • Accepts Insurance
  • CLIA Number: 50D1063091
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About BAINBRIDGE PEDIATRICS, PLLC

This page provides the complete NPI Profile along with additional information for Bainbridge Pediatrics, Pllc, a pediatrician established in Bainbridge Island, Washington operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1851424931 assigned on March 2007. The practitioner's primary taxonomy code is 2080A0000X with license number 602636742 (WA). The provider is registered as an organization and their NPI record was last updated 8 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 provider's former legal business name is Cww Pllc. The authorized official of this NPI record is Jennifer M. Ottmer (Practice Manager)

NPI
1851424931
Provider Legal Name
BAINBRIDGE PEDIATRICS, PLLC
Other Organization Name
CWW PLLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1298 GROW AVE NW BAINBRIDGE ISLAND, WA 98110
Location Phone
(206) 780-5437
Location Fax
(206) 780-5438
Mailing Address
1298 GROW AVE NW BAINBRIDGE ISLAND, WA 98110
Mailing Phone
(206) 780-5437
Mailing Fax
(206) 780-5438
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2007
Last Update Date
01-16-2018
Code Navigator

A pediatrician like Bainbridge Pediatrics, Pllc 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.
602636742
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

*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

JENNIFER M. OTTMER

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(206) 780-5437

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
50D1063091
Facility Type
Physician Office
Certificate Effective Date
April 20, 2007
Certificate Expiration Date
April 04, 2028
Laboratory Director
MOLLY S. LINHARDT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bainbridge Pediatrics, Pllc 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 1851424931, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
8
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
1
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 5 → 10 → 1 4 → 8 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 0 + 1 + 8 + 2 + 8 + 9 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1851424931.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pediatrics
1298 GROW AVE NW
BAINBRIDGE ISLAND, WA 98110
Pediatrics
1298 GROW AVE NW
BAINBRIDGE ISLAND, WA 98110
Physician Assistant
1298 GROW AVE NW
BAINBRIDGE ISLAND, WA 98110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851424931, enumerated as an "organization" on March 14, 2007.

The provider is located at 1298 GROW AVE NW BAINBRIDGE ISLAND, WA 98110 and the phone number is (206) 780-5437.

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

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.