LAKE WASHINGTON SPORTS & SPINE
NPI 1992074066
Clinic/Center - Medical Specialty in Bellevue, WA
NPI Status: Active since December 20, 2011
Contact Information
1632 116TH AVE NE
STE C
BELLEVUE, WA
ZIP 98004
Phone: (425) 818-0558
Fax: (888) 557-3062
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
About LAKE WASHINGTON SPORTS & SPINE
This page provides the complete NPI Profile along with additional information for Lake Washington Sports & Spine, a provider established in Bellevue, Washington operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1992074066 assigned on December 2011. The practitioner's primary taxonomy code is 261QM2500X with license number MD 39116 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Lake Washington Sports & Spine. The authorized official of this NPI record is Garrett S Hyman Md, Mph (Physician Owner)
- NPI
- 1992074066
- Provider Legal Name
- EMERALD CITY SPORTS & SPINE MEDICINE
- Other Organization Name
- LAKE WASHINGTON SPORTS & SPINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1632 116TH AVE NE STE C BELLEVUE, WA 98004
- Location Phone
- (425) 818-0558
- Location Fax
- (888) 557-3062
- Mailing Address
- 6924 SE ALLEN ST MERCER ISLAND, WA 98040
- Mailing Phone
- (206) 852-8898
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-20-2011
- Last Update Date
- 02-22-2012
- Code Navigator
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 Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD 39116
- License State
- WA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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
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 |
|---|---|---|---|
| H64720 | MEDICARE UPIN (02) | 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 1992074066, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
BELLEVUE, WA 98004
BELLEVUE, WA 98004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992074066, enumerated as an "organization" on December 20, 2011.
The provider is located at 1632 116TH AVE NE STE C BELLEVUE, WA 98004 and the phone number is (425) 818-0558.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
