MARK A. PETROFF M.D.
NPI 1528068129
Plastic Surgery, Plastic Surgery Within The Head And Neck in Lake Oswego,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 26, 2005

Contact Information

17720 Jean Way
Lake Oswego,
Post Code: 97035
Phone: (503) 635-4886
Fax: (503) 635-1655

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Mark A. Petroff M.d. in Lake Oswego - Plastic Surgery, Plastic Surgery Within the Head and Neck

Mark A. Petroff M.d. is a Plastic Surgery, Plastic Surgery Within the Head and Neck in Lake Oswego, . Mark A. Petroff M.d. practices all healthcare services and medical treatments related to Plastic Surgery, Plastic Surgery Within the Head and Neck. The NPI Number for Mark A. Petroff M.d. is 1528068129. The last update date is 2023-03-07.

Mark A. Petroff M.d.'s current location address is 17720 Jean Way, Lake Oswego, . You can contact this provider via phone number (503) 635-4886 and fax number (503) 635-1655. The mailing address for Mark A. Petroff M.d. is 17720 Jean Way, Lake Oswego, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1528068129
Provider Name
MARK A. PETROFF M.D.
Gender
Male
Entity Type
Individual
Location Address
17720 Jean Way, Lake Oswego,
Location Phone
(503) 635-4886
Location Fax
(503) 635-1655
Mailing Address
17720 Jean Way, Lake Oswego, Oregon(OR)
Mailing Phone
503-635-4886
Mailing Fax
503-635-1655
Enumeration Date
2005-07-26
Last Update Date
2023-03-07
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

Plastic Surgery, Plastic Surgery Within the Head and Neck

Taxonomy Code
2082S0099X
Type
-
License No.
MD15996
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
069609 MEDICAID (05) Oregon (OR)
MD15996 Other (non-Medicare) (01) Oregon (OR) State License

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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.
1528068129
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548061614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2548061614
2 + 5 + 4 + 8 + 0 + 6 + 1 + 6 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1528068129 is valid because the calculated check digit 9 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
1376546309 EDWARD HSIA0-KUA CHANG
Individual
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TIGARD, Oregon (OR)
971-708-7600
1326041526 NATE D QUILICI
Individual
Specialist 9205 SW BARNES RD
PORTLAND, Oregon (OR)
503-216-2181
1346243524 ANGELA MARIE SEEDS
Individual
Physician Assistant, Medical 710 SUNSET DR STE F
LA GRANDE, Oregon (OR)
541-663-3100
1306849393 JEFFERY C. SPATHAS
Individual
Dentist, General Practice 4901 NE GLISAN ST
PORTLAND, Oregon (OR)
503-231-1644
1033112271 DAVID CANDELARIA
Individual
Family Medicine 280 MAPLE ST
ASHLAND, Oregon (OR)
541-201-4000