CHULACHAK JON SUKACHEVIN M.D.
NPI 1386644417
Family Medicine in Camas,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 29, 2005

Contact Information

411 Ne 6th Ave
Camas,
Post Code: 98607
Phone: (360) 834-2863
Fax: (360) 834-0160

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Chulachak Jon Sukachevin M.d. in Camas - Family Medicine

Chulachak Jon Sukachevin M.d. is a Family Medicine in Camas, . Chulachak Jon Sukachevin M.d. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Chulachak Jon Sukachevin M.d. is 1386644417. The last update date is 2022-02-04.

Chulachak Jon Sukachevin M.d.'s current location address is 411 Ne 6th Ave, Camas, . You can contact this provider via phone number (360) 834-2863 and fax number (360) 834-0160. The mailing address for Chulachak Jon Sukachevin M.d. is 411 Ne 6th Ave, Camas, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1386644417
Provider Name
CHULACHAK JON SUKACHEVIN M.D.
Gender
Male
Entity Type
Individual
Location Address
411 Ne 6th Ave, Camas,
Location Phone
(360) 834-2863
Location Fax
(360) 834-0160
Mailing Address
411 Ne 6th Ave, Camas, Washington(WA)
Mailing Phone
360-834-2863
Mailing Fax
360-834-0160
Enumeration Date
2005-07-29
Last Update Date
2022-02-04
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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
MD 60173771
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 207Q00000X Family Medicine Physician

Family Medicine

D0054571 (Maryland)
2 207Q00000X Family Medicine Physician

Family Medicine

MD15286 (Oregon)

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

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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.
1386644417
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166124842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 23166124842
2 + 3 + 1 + 6 + 6 + 1 + 2 + 4 + 8 + 4 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1386644417 is valid because the calculated check digit 7 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
1386643997 PHILIP L LUND
Individual
Radiology, Pediatric Radiology 533 S 336TH ST
FEDERAL WAY, Washington (WA)
253-661-1700
1386643401 JENNIFER NICOLE MARTIN
Individual
Nurse Practitioner, Obstetrics & Gynecology 700 E MOUNTAIN VIEW AVE STE 505
ELLENSBURG, Washington (WA)
509-426-3750
1386641694 MUHAMMAD AYUB
Individual
Family Medicine 9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, Washington (WA)
253-968-5779
1386640639 JANE E MCKEE
Individual
Registered Nurse 17917 VASHON HWY SW
VASHON, Washington (WA)
206-463-2800
1386639490 ROBERT V GLAZE
Individual
Optometrist 13401 BEL RED RD
BELLEVUE, Washington (WA)
425-747-2020