Provider Type Icon

PROVIDENCE HEALTH & SERVICES-WA NPI 1831499755


NPI Information

NPI: 1831499755
Provider Name: PROVIDENCE HEALTH & SERVICES-WA

Doing Business As: PROVIDENCE PHYSICIAN GROUP- NEUROSURGERY AND SPINE CLINIC

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
1330 ROCKEFELLER AVE
SUITE 225
EVERETT, WA
ZIP 98201
Phone: (425) 261-4960
Get Directions

PROVIDENCE HEALTH & SERVICES-WA is an orthopaedic surgery of the spine orthopaedic surgery in Everett, WA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. PROVIDENCE HEALTH & SERVICES-WA NPI is 1831499755. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Providence Physician Group- Neurosurgery And Spine Clinic.

The provider's business location address is:

1330 ROCKEFELLER AVE
SUITE 225
EVERETT, WA
ZIP 98201-684
Phone: (425) 261-4960
Fax: (425) 225-1001

The provider's authorized official is Nichole Quinn .
The authorized official title is Payor Credentialing Manager and has the following contact phone number (425) 525-6715.

The enumeration date for this NPI number is 10/26/2010 and was last updated on 12/27/2010.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

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: 4/28/2024

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.