PATRICK KELLY SMITH PAC
NPI 1124016951
Emergency Medicine in Lynnwood,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 6, 2005

Contact Information

20200 54th Ave W
Lynnwood,
Post Code: 98036
Phone: (425) 672-6400
Fax: -

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Patrick Kelly Smith Pac in Lynnwood - Emergency Medicine

Patrick Kelly Smith Pac is a Emergency Medicine in Lynnwood, . Patrick Kelly Smith Pac practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Patrick Kelly Smith Pac is 1124016951. The last update date is 2021-05-05.

Patrick Kelly Smith Pac's current location address is 20200 54th Ave W, Lynnwood, . You can contact this provider via phone number (425) 672-6400 and fax number -. The mailing address for Patrick Kelly Smith Pac is 20200 54th Ave W, Lynnwood, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1124016951
Provider Name
PATRICK KELLY SMITH PAC
Gender
Male
Entity Type
Individual
Location Address
20200 54th Ave W, Lynnwood,
Location Phone
(425) 672-6400
Location Fax
-
Mailing Address
20200 54th Ave W, Lynnwood, Washington(WA)
Mailing Phone
425-672-6400
Mailing Fax
-
Enumeration Date
2005-10-06
Last Update Date
2021-05-05
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

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
PA60940050
License State
Washington (WA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207P00000X Emergency Medicine Physician

Emergency Medicine

5601004116 (Michigan)
2 363A00000X Physician Assistant

Physician Assistant

5601004116 (Michigan)

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
142901 Other (non-Medicare) (01) () Great Lakes Health Plan
201 Other (non-Medicare) (01) Michigan (MI) Community Choice of MI
3381330 Other (non-Medicare) (01) Michigan (MI) Molina Health Care
381908328 Other (non-Medicare) (01) () Tricare

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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.
1124016951
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440112910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21440112910
2 + 1 + 4 + 4 + 0 + 1 + 1 + 2 + 9 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1124016951 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
1124016555 ROSAUERS SUPERMARKETS INC
ROSAUERS PHARMACY
Organization
Pharmacy 907 W 14TH AVE
SPOKANE, Washington (WA)
509-624-2371
1124016548 SAMUEL KIRTLEY
Individual
Family Medicine 55 W TIETAN ST
WALLA WALLA, Washington (WA)
509-525-3720
1124015920 SARA MARGARITA VEGA-EVANS
Individual
Counselor 510 BROADVIEW DR
GRANDVIEW, Washington (WA)
509-882-1158
1124015433 HEIDI KJOS
Individual
Family Medicine 3101 SE 192ND AVE
VANCOUVER, Washington (WA)
360-553-7300
1124015193 ROBERT P MCCOY
Individual
Emergency Medicine 690 BARNES BLVD
JOINT BASE LEWIS MCCHORD, Washington (WA)
740-454-4394