EVERGREEN NEPHROLOGY ASSOCIATES PLLC
NPI 1942254362
Specialist in Tacoma, WA

NPI Status: Active since May 20, 2006

Contact Information

1708 YAKIMA AVE
SUITE 107
TACOMA, WA
ZIP 98405
Phone: (253) 272-5881
Fax: (253) 383-0161

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  • Organization
  • Specialist

About EVERGREEN NEPHROLOGY ASSOCIATES PLLC

This page provides the complete NPI Profile along with additional information for Evergreen Nephrology Associates Pllc, a provider established in Tacoma, Washington operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1942254362 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number MD00028956 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Evergreen Nephrology Associates Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Thomas Jacob Martin Md (Owner)

NPI
1942254362
Provider Name
EVERGREEN NEPHROLOGY ASSOCIATES PLLC
Entity Type
Organization
Location Address
1708 YAKIMA AVE SUITE 107 TACOMA, WA 98405
Location Phone
(253) 272-5881
Location Fax
(253) 383-0161
Mailing Address
1708 YAKIMA AVE SUITE 107 TACOMA, WA 98405
Mailing Phone
(253) 272-5881
Mailing Fax
(253) 383-0161
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2006
Last Update Date
08-22-2020
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD00028956
License State
WA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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:

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. THOMAS JACOB MARTIN MD

Authorized Official Title
OWNER
Authorized Official Phone
(253) 272-5881

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
7089881MEDICAID (05)WA 

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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 1942254362, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 4 + 5 + 8 + 3 + 1 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1942254362.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
1708 YAKIMA AVE
TACOMA, WA 98405
Neurological Surgery
1708 YAKIMA AVE, STE 105
TACOMA, WA 98405
Otolaryngology
1708 YAKIMA AVE, SUITE 112
TACOMA, WA 98405
Nurse Practitioner (Gerontology)
1708 YAKIMA AVE, SUITE 107
TACOMA, WA 98405
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1708 YAKIMA AVE, STE 202
TACOMA, WA 98405
Internal Medicine
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Podiatrist (Foot & Ankle Surgery)
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Family Medicine
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Neurological Surgery
1708 YAKIMA AVE, STE 105
TACOMA, WA 98405
Chiropractor
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Family Medicine
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Physician Assistant
1708 YAKIMA AVE, STE 105
TACOMA, WA 98405
Internal Medicine
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Nurse Practitioner (Family)
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Advanced Practice Midwife
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Family Medicine
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Family Medicine
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Chiropractor
1708 YAKIMA AVE, STE 100
TACOMA, WA 98405
Family Medicine
1708 YAKIMA AVE, STE 100
TACOMA, WA 98405
Optometrist
1708 YAKIMA AVE, STE 100
TACOMA, WA 98405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942254362, enumerated as an "organization" on May 20, 2006.

The provider is located at 1708 YAKIMA AVE SUITE 107 TACOMA, WA 98405 and the phone number is (253) 272-5881.

Specialist with taxonomy code 174400000X.

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