PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1003367863

NPI Details

PROVIDENCE HEALTH & SERVICES WASHINGTON is a diagnostic radiology radiology in Lacey, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1003367863. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4800 COLLEGE ST SE STE E
LACEY, WA
ZIP 98503-389
Phone: (360) 489-2960
Fax: (360) 489-2961

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 358-9786.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• X-ray of chest, 2 views (HCPCS:71046)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of abdomen, 1 view (HCPCS:74018)
• X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• X-ray of upper spine, 4-5 views (HCPCS:72050)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• X-ray of knee, 1-2 views (HCPCS:73560)
• X-ray of middle spine, 2 views (HCPCS:72070)
• X-ray of abdomen, 2 views (HCPCS:74019)
• X-ray of elbow, minimum of 3 views (HCPCS:73080)
• X-ray of finger, minimum of 2 views (HCPCS:73140)
• X-ray of both hips, 3-4 views (HCPCS:73522)
• X-ray of middle spine, 3 views (HCPCS:72072)
• X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
• X-ray of toe, minimum of 2 views (HCPCS:73660)

The enumeration date for this NPI number is 10/17/2016 and was last updated on 5/13/2025.

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: