JEREMY M LAKE MD
NPI 1114909371
Internal Medicine, Gastroenterology in Hillsboro,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 15, 2005

Contact Information

232 Se 7th Ave
Hillsboro,
Post Code: 97123
Phone: (503) 640-1614
Fax: (503) 681-0925

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Jeremy M Lake Md in Hillsboro - Internal Medicine, Gastroenterology

Jeremy M Lake Md is a Internal Medicine, Gastroenterology in Hillsboro, . Jeremy M Lake Md practices all healthcare services and medical treatments related to Internal Medicine, Gastroenterology. The NPI Number for Jeremy M Lake Md is 1114909371. The last update date is 2008-01-09.

Jeremy M Lake Md's current location address is 232 Se 7th Ave, Hillsboro, . You can contact this provider via phone number (503) 640-1614 and fax number (503) 681-0925. The mailing address for Jeremy M Lake Md is 232 Se 7th Ave, Hillsboro, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114909371
Provider Name
JEREMY M LAKE MD
Gender
Male
Entity Type
Individual
Location Address
232 Se 7th Ave, Hillsboro,
Location Phone
(503) 640-1614
Location Fax
(503) 681-0925
Mailing Address
232 Se 7th Ave, Hillsboro, Oregon(OR)
Mailing Phone
503-640-1614
Mailing Fax
503-681-0925
Enumeration Date
2005-11-15
Last Update Date
2008-01-09
Code Navigator

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

Internal Medicine, Gastroenterology

Taxonomy Code
207RG0100X
Type
-
License No.
MD24736
License State
Oregon (OR)
Taxonomy Description
-

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
183065 MEDICAID (05) Oregon (OR)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114909371
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418018314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 212418018314
2 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 8 + 3 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1114909371 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114908571 JULIE MCALLISTER
Individual
Physical Therapist 3140 NE DUNCKLEY ST
PORTLAND, Oregon (OR)
503-493-3525
1114907144 SABINE CLARA MEYER
Individual
Psychiatry & Neurology, Geriatric Psychiatry 12725 SW MILLIKAN WAY
BEAVERTON, Oregon (OR)
503-906-7970
1114906815 DANIEL SWINK SAGER
Individual
Internal Medicine, Rheumatology 1108 JUNE ST
HOOD RIVER, Oregon (OR)
541-387-6125
1114906682 THOMAS FARNEY
Individual
Surgery 740 E PINE AVE
HERMISTON, Oregon (OR)
541-567-8999
1114906443 JOHN M TERHES
Individual
Surgery 360 S GARDEN WAY
EUGENE, Oregon (OR)
541-345-2205