PEACEHEALTH
PEACEHEALTH is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1609061969, based in Vancouver, WA. It is classified under Surgery Physician.
Getting there
The practice address on file is 505 NE 87TH AVE SUITE 301, Vancouver, WA 98664. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD00027022 | WA | Surgery Physician primary |
This provider holds licence MD00027022 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8820178288
Enrolled in Medicare 6 times, across 6 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Washington | O20080110000429 | Part B Supplier - Clinic/group Practice |
| Illinois | O20250909000118 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20250917000871 | Part B Supplier - Clinic/group Practice |
| Georgia | O20250929001252 | Part B Supplier - Clinic/group Practice |
| Texas | O20251014000234 | Part B Supplier - Clinic/group Practice |
| New York | O20260127003736 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 6 separate enrolment records across 6 states (WA, IL, NC, GA, TX, NY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Surgery covers
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1609061969 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 10, 2007 |
| Last updated | Mar 8, 2021 |
| Status | Active |
| Practice address |
505 NE 87TH AVE SUITE 301 Vancouver, WA 98664 (360) 514-7374 Fax (360) 514-7384 |
| Mailing address |
1115 SE 164TH AVE DEPT 358 Vancouver, WA 98683 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 0 | 9 | 0 | 6 | 1 | 9 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 0 | 9 | 0 | 6 | 2 | 9 | 3 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.