CHRIS ALBERT PETERSEN PAC
NPI 1952393241
Physician Assistant - Surgical in Salem, OR

NPI Status: Active since August 22, 2005

Contact Information

875 OAK ST SE
SUITE 5020
SALEM, OR
ZIP 97301
Phone: (503) 226-6321
Fax: (503) 227-3422

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  • Individual
  • Male
  • Physician Assistant
  • Surgical

About CHRIS PETERSEN

This page provides the complete NPI Profile along with additional information for Chris Petersen, a provider established in Salem, Oregon with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1952393241 assigned on August 2005. The practitioner's primary taxonomy code is 363AS0400X with license number PA00211 (OR). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1952393241
Provider Name
CHRIS ALBERT PETERSEN PAC
Gender
Male
Entity Type
Individual
Location Address
875 OAK ST SE SUITE 5020 SALEM, OR 97301
Location Phone
(503) 226-6321
Location Fax
(503) 227-3422
Mailing Address
975 SE SANDY BLVD SUITE 200 PORTLAND, OR 97214
Mailing Phone
(503) 963-2846
Mailing Fax
(503) 227-3422
Is Sole Proprietor?
No
Enumeration Date
08-22-2005
Last Update Date
08-19-2009
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA00211
License State
OR

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.

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
S23087MEDICARE UPIN (02)OR 
147747MEDICARE PIN (08)OR 
8435877MEDICAID (05)WA 
210476MEDICAID (05)OR 
116065MEDICARE ID-TYPE UNSPECIFIED (04)ORPORTLAND

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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 1952393241, 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
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
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 3 → 6 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 6 + 9 + 6 + 2 + 8 + 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 1952393241.

Other Providers at the Same Location


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

Neurological Surgery
875 OAK ST SE, STE 5060
SALEM, OR 97301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
875 OAK ST SE, SUITE 5020
SALEM, OR 97301
Psychiatry & Neurology (Psychiatry)
875 OAK ST SE, STE 3070
SALEM, OR 97301
Physician Assistant (Medical)
875 OAK ST SE, STE 3010
SALEM, OR 97301
Obstetrics & Gynecology (Gynecology)
875 OAK ST SE, SUITE 5090
SALEM, OR 97301
Neurological Surgery
875 OAK ST SE, STE 5085
SALEM, OR 97301
Internal Medicine (Gastroenterology)
875 OAK ST SE, STE 3010
SALEM, OR 97301
Internal Medicine (Gastroenterology)
875 OAK ST SE, STE 3010
SALEM, OR 97301
Internal Medicine (Cardiovascular Disease)
875 OAK ST SE, SUITE 5080
SALEM, OR 97301
Physician Assistant (Surgical)
875 OAK ST SE, SUITE 5020
SALEM, OR 97301
Surgery
875 OAK ST SE, #4010
SALEM, OR 97301
Internal Medicine (Clinical Cardiac Electrophysiology)
875 OAK ST SE, SUITE #5040
SALEM, OR 97301
Neurological Surgery
875 OAK ST SE, #5060
SALEM, OR 97301
Plastic Surgery
875 OAK ST SE, STE 4060
SALEM, OR 97301
Allergy & Immunology
875 OAK ST SE, #4000
SALEM, OR 97301
Pharmacy (Institutional Pharmacy)
875 OAK ST SE, COM PHARMACY
SALEM, OR 97301
Internal Medicine (Hematology & Oncology)
875 OAK ST SE, SUITE 4030
SALEM, OR 97301
Obstetrics & Gynecology (Obstetrics)
875 OAK ST SE
SALEM, OR 97301
Neurological Surgery
875 OAK ST SE, SUITE 5085
SALEM, OR 97301
Neurological Surgery
875 OAK ST SE, SUITE 5085
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952393241, enumerated as an "individual" on August 22, 2005.

The provider is located at 875 OAK ST SE SUITE 5020 SALEM, OR 97301 and the phone number is (503) 226-6321.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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