GRESHAM PODIATRY CENTER, LLC
NPI 1891742318
Podiatrist - Foot & Ankle Surgery in Gresham, OR

NPI Status: Active since May 28, 2006

Contact Information

831 NW COUNCIL DR
SUITE #203
GRESHAM, OR
ZIP 97030
Phone: (503) 667-6600
Fax: (503) 667-6608

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About GRESHAM PODIATRY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Gresham Podiatry Center, Llc, a provider established in Gresham, Oregon operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1891742318 assigned on May 2006. The practitioner's primary taxonomy code is 213ES0103X with license number 307 (OR). The provider is registered as an organization and their NPI record was last updated 18 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 Dr. Derek John Mccammon D.p.m. (Owner)

NPI
1891742318
Provider Name
GRESHAM PODIATRY CENTER, LLC
Entity Type
Organization
Location Address
831 NW COUNCIL DR SUITE #203 GRESHAM, OR 97030
Location Phone
(503) 667-6600
Location Fax
(503) 667-6608
Mailing Address
831 NW COUNCIL DR SUITE #203 GRESHAM, OR 97030
Mailing Phone
(503) 667-6600
Mailing Fax
(503) 667-6608
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-28-2006
Last Update Date
04-02-2008
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
307
License State
OR

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:

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. DEREK JOHN MCCAMMON D.P.M.

Authorized Official Title
OWNER
Authorized Official Phone
(503) 667-6600

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
1891742318OTHER (01)ORGROUP NPI
U76208MEDICARE UPIN (02)OR 
3897300001MEDICARE NSC (07)OR 
R107949MEDICARE ID-TYPE UNSPECIFIED (04)ORGROUP MEDICARE ID NUMBER

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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 1891742318, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 9 → 18 → 9 7 → 14 → 5 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 8 + 1 + 1 + 4 + 4 + 4 + 3 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1891742318.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Family Medicine
831 NW COUNCIL DR, SUITE 125
GRESHAM, OR 97030
Family Medicine
831 NW COUNCIL DR, SUITE 101
GRESHAM, OR 97030
Internal Medicine
831 NW COUNCIL DR, SUITE 125
GRESHAM, OR 97030
Pain Medicine (Interventional Pain Medicine)
831 NW COUNCIL DR, SUITE 300
GRESHAM, OR 97030
Surgery
831 NW COUNCIL DR, SUITE 301
GRESHAM, OR 97030
Nurse Practitioner (Family)
831 NW COUNCIL DR, SUITE 300
GRESHAM, OR 97030
Nurse Practitioner (Adult Health)
831 NW COUNCIL DR, SUITE 300
GRESHAM, OR 97030
Surgery
831 NW COUNCIL DR, SUITE 301
GRESHAM, OR 97030
Clinical Medical Laboratory
831 NW COUNCIL DR, #300
GRESHAM, OR 97030
Orthopaedic Surgery
831 NW COUNCIL DR, SUITE 130
GRESHAM, OR 97030
Nurse Practitioner (Adult Health)
831 NW COUNCIL DR, SUITE 300
GRESHAM, OR 97030
Nurse Practitioner (Adult Health)
831 NW COUNCIL DR, SUITE 101
GRESHAM, OR 97030
Internal Medicine
831 NW COUNCIL DR, SUITE 101
GRESHAM, OR 97030
Podiatrist (Foot & Ankle Surgery)
831 NW COUNCIL DR, STE 203
GRESHAM, OR 97030
Anesthesiology (Pain Medicine)
831 NW COUNCIL DR, SUITE 300
GRESHAM, OR 97030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891742318, enumerated as an "organization" on May 28, 2006.

The provider is located at 831 NW COUNCIL DR SUITE #203 GRESHAM, OR 97030 and the phone number is (503) 667-6600.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.