ELKHORN FAMILY MEDICINE PC
NPI 1881263721
Family Medicine in Baker City, OR

NPI Status: Active since June 24, 2021

Contact Information

3705 MIDWAY DR
BAKER CITY, OR
ZIP 97814
Phone: (541) 519-4204

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
Accepts Insurance
CLIA Number: 38D0857514
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 08-08-2026

About ELKHORN FAMILY MEDICINE PC

This page provides the complete NPI Profile along with additional information for Elkhorn Family Medicine Pc, a primary care provider established in Baker City, Oregon operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1881263721 assigned on June 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Elkhorn Family Medicine Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Logan Frederickson Do (Owner)

NPI: 1881263721
Provider Name: ELKHORN FAMILY MEDICINE PC
Entity Type: Organization
Location Address: 3705 MIDWAY DR BAKER CITY, OR 97814
Location Phone: (541) 519-4204
Mailing Address: 3705 MIDWAY DR BAKER CITY, OR 97814
Mailing Phone: (541) 519-4204
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-24-2021
Last Update Date: 02-01-2024
Code Navigator

A primary care provider (PCP) like Elkhorn Family Medicine Pc 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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

BridgeSpan Health Company

BridgeSpan Standard Bronze Plan - EPO
BridgeSpan Standard Gold Plan - EPO
BridgeSpan Standard Silver Plan - EPO

Moda Health Plan, Inc.

Moda Health Affinity Bronze 7750 - EPO
Moda Health Affinity Bronze 9000 - EPO
Moda Health Affinity Bronze HDHP 7500 - EPO
Moda Health Affinity Gold 1000 - EPO
Moda Health Affinity Gold 1500 - EPO
Moda Health Affinity Gold 250 - EPO
Moda Health Affinity Silver 3000 - EPO
Moda Health Affinity Silver 3400 - EPO
Moda Health Affinity Silver 4500 - EPO
Moda Health Affinity Silver 6000 - EPO
Moda Health Oregon Standard Bronze Affinity - EPO
Moda Health Oregon Standard Gold Affinity - EPO
Moda Health Oregon Standard Silver Affinity - EPO

Regence BlueCross BlueShield of Oregon

Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
Bronze HSA 7000 Individual and Family Network - EPO
Gold 2300 Individual and Family Network - EPO
Regence Standard Bronze Plan Individual and Family Network - EPO
Regence Standard Gold Plan Individual and Family Network - EPO
Regence Standard Silver Plan Individual and Family Network - EPO
Silver 6200 Individual and Family Network - EPO

*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: LOGAN FREDERICKSON DO
Authorized Official Title: OWNER
Authorized Official Phone: (541) 519-4250

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: 38D0857514
Facility Type: Physician Office
Certificate Effective Date: August 09, 2024
Certificate Expiration Date: August 08, 2026
Laboratory Director: LOGAN FREDERICKSON
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Elkhorn Family Medicine Pc 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.

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	8	8	1	2	6	3	7	2	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	16	1	4	6	6	7	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 4 + 6 + 6 + 7 + 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 1881263721 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.