GRETA TAN GO MD
NPI 1578540480
Radiology, Pediatric Radiology in Lynnwood,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 30, 2005

Contact Information

19020 33rd Ave W Ste 210
Lynnwood,
Post Code: 98036
Phone: (425) 563-1500
Fax: (425) 563-1501

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Greta Tan Go Md in Lynnwood - Radiology, Pediatric Radiology

Greta Tan Go Md is a Radiology, Pediatric Radiology in Lynnwood, . Greta Tan Go Md practices all healthcare services and medical treatments related to Radiology, Pediatric Radiology. The NPI Number for Greta Tan Go Md is 1578540480. The last update date is 2019-07-29.

Greta Tan Go Md's current location address is 19020 33rd Ave W Ste 210, Lynnwood, . You can contact this provider via phone number (425) 563-1500 and fax number (425) 563-1501. The mailing address for Greta Tan Go Md is 19020 33rd Ave W Ste 210, Lynnwood, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1578540480
Provider Name
GRETA TAN GO MD
Gender
Female
Entity Type
Individual
Location Address
19020 33rd Ave W Ste 210, Lynnwood,
Location Phone
(425) 563-1500
Location Fax
(425) 563-1501
Mailing Address
19020 33rd Ave W Ste 210, Lynnwood, Washington(WA)
Mailing Phone
425-563-1500
Mailing Fax
425-563-1374
Enumeration Date
2005-12-30
Last Update Date
2019-07-29
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

Radiology, Pediatric Radiology

Taxonomy Code
2085P0229X
Type
-
License No.
MD00038515
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 2085P0229X Pediatric Radiology Physician

Radiology, Pediatric Radiology

M-12399 (Idaho)
2 2085R0202X Diagnostic Radiology Physician

Radiology, Diagnostic Radiology

MD00038515 (Washington)
3 2085R0202X Diagnostic Radiology Physician

Radiology, Diagnostic Radiology

M-12399 (Idaho)

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
135883 Other (non-Medicare) (01) Washington (WA) LNI Provider ID
139425 Other (non-Medicare) (01) Washington (WA) L&I Provider number
1578540480 MEDICAID (05) Idaho (ID)
164154 Other (non-Medicare) (01) Washington (WA) L&I Provider number
204103 Other (non-Medicare) (01) Washington (WA) LNI Provider ID
213704 Other (non-Medicare) (01) Washington (WA) LNI Provider ID
8254997 MEDICAID (05) Washington (WA)

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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.
1578540480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481040416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 251481040416
2 + 5 + 1 + 4 + 8 + 1 + 0 + 4 + 0 + 4 + 1 + 6 + 24 = 60
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1578540480 is valid because the calculated check digit 0 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
1265435218 CAREY LEEDS
Individual
Obstetrics & Gynecology 803 E LINCOLN AVE
SUNNYSIDE, Washington (WA)
509-837-1550
1508869546 MATTHEW CHARLES BROUNS
Individual
Internal Medicine, Hematology & Oncology 210 SE 136TH AVE
VANCOUVER, Washington (WA)
360-944-9889
1376546309 EDWARD HSIA0-KUA CHANG
Individual
Internal Medicine, Hematology & Oncology 12123 SW 69TH AVE
TIGARD, Oregon (OR)
971-708-7600
1194728329 JOHN J LOFFARELLI
Individual
Internal Medicine 820 N CHELAN AVE
WENATCHEE, Washington (WA)
509-663-8711
1285637298 DIVIS K KHAIRA
Individual
Internal Medicine 1615 DELAWARE ST
LONGVIEW, Washington (WA)
360-414-7878