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PROVIDENCE HEALTH & SERVICES - WA NPI 1902057029


NPI Information

NPI: 1902057029
Provider Name: PROVIDENCE HEALTH & SERVICES - WA

Doing Business As: PMG NW WA EVERETT CARDIOLOGY

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1330 ROCKEFELLER AVE
SUITE 230
EVERETT, WA
ZIP 98201
Phone: (425) 261-4925
Get Directions

PROVIDENCE HEALTH & SERVICES - WA is an internal medicine in Everett, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PROVIDENCE HEALTH & SERVICES - WA NPI is 1902057029. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pmg Nw Wa Everett Cardiology.

The provider's business location address is:

1330 ROCKEFELLER AVE
SUITE 230
EVERETT, WA
ZIP 98201-676
Phone: (425) 261-4925
Fax: (425) 261-4932

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Sec For Enrollment/dir Reimb S and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 1/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471B0102XRadiologic TechnologistBone DensitometryNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3363LG0600XNurse PractitionerGerontologyNo
4207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.