ARBORETUM DERMATOLOGY SEATTLE, PLLC
NPI 1982129490
Clinic/Center in Seattle, WA

NPI Status: Active since August 04, 2017

Contact Information

3131 E MADISON ST STE 205
SEATTLE, WA
ZIP 98112
Phone: (206) 462-5850
Fax: (206) 487-5150

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 50D2142106
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About ARBORETUM DERMATOLOGY SEATTLE, PLLC

This page provides the complete NPI Profile along with additional information for Arboretum Dermatology Seattle, Pllc, a provider established in Seattle, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1982129490 assigned on August 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Nicki Pethes (Credentialing Analyst)

NPI
1982129490
Provider Name
ARBORETUM DERMATOLOGY SEATTLE, PLLC
Entity Type
Organization
Location Address
3131 E MADISON ST STE 205 SEATTLE, WA 98112
Location Phone
(206) 462-5850
Location Fax
(206) 487-5150
Mailing Address
1861 MCGILVRA BLVD E SEATTLE, WA 98112
Mailing Phone
(206) 919-0198
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2017
Last Update Date
11-29-2017
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

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

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*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

NICKI PETHES

Authorized Official Title
CREDENTIALING ANALYST
Authorized Official Phone
(715) 523-2485

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
50D2142106
Facility Type
Physician Office
Certificate Effective Date
January 03, 2018
Certificate Expiration Date
April 04, 2028
Laboratory Director
CARMEN BERGER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Arboretum Dermatology Seattle, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1982129490, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 8 → 16 → 7 1 → 2 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 6 + 2 + 2 + 2 + 1 + 8 + 4 + 1 + 8 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1982129490.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
3131 E MADISON ST STE 205
SEATTLE, WA 98112
Dermatology
3131 E MADISON ST STE 205
SEATTLE, WA 98112
Physician Assistant
3131 E MADISON ST STE 205
SEATTLE, WA 98112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982129490, enumerated as an "organization" on August 04, 2017.

The provider is located at 3131 E MADISON ST STE 205 SEATTLE, WA 98112 and the phone number is (206) 462-5850.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.