PENINSULA PAIN CLINIC, PLLC
NPI 1912376005
Clinic/Center - Pain in Bremerton, WA

NPI Status: Active since September 18, 2015

Contact Information

2601 CHERRY AVE STE 200
BREMERTON, WA
ZIP 98310
Phone: (360) 415-9110
Fax: (360) 479-0265

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  • Organization
  • Clinic/Center
  • Pain
  • Accepts Insurance

About PENINSULA PAIN CLINIC, PLLC

This page provides the complete NPI Profile along with additional information for Peninsula Pain Clinic, Pllc, a provider established in Bremerton, Washington operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1912376005 assigned on September 2015. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Terry Pexton Do (Medical Director)

NPI
1912376005
Provider Name
PENINSULA PAIN CLINIC, PLLC
Entity Type
Organization
Location Address
2601 CHERRY AVE STE 200 BREMERTON, WA 98310
Location Phone
(360) 415-9110
Location Fax
(360) 479-0265
Mailing Address
2980 N BEVERLY GLEN CIR STE 100 LOS ANGELES, CA 90077
Mailing Phone
(310) 943-4180
Mailing Fax
(360) 479-0265
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-18-2015
Last Update Date
07-22-2019
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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 Pain

Taxonomy Code
261QP3300X
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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2332900000XSuppliers

Non-Pharmacy Dispensing Site

OP60339103 (WA)

Insurance Plans Accepted

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

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

*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

TERRY PEXTON DO

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(360) 415-9110

Reviews for PENINSULA PAIN CLINIC, PLLC

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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 1912376005, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 1 → 2 3 → 6 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 6 + 7 + 1 + 2 + 0 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1912376005.

Other Providers at the Same Location


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

Physician Assistant (Surgical)
2601 CHERRY AVE STE 200
BREMERTON, WA 98310
Nurse Practitioner (Adult Health)
2601 CHERRY AVE STE 200
BREMERTON, WA 98310
Physician Assistant (Medical)
2601 CHERRY AVE STE 200
BREMERTON, WA 98310
Nurse Practitioner
2601 CHERRY AVE STE 200
BREMERTON, WA 98310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912376005, enumerated as an "organization" on September 18, 2015.

The provider is located at 2601 CHERRY AVE STE 200 BREMERTON, WA 98310 and the phone number is (360) 415-9110.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.