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ASSOCIATED VALLEY PROVIDERS PLLC
NPI 1043490543
Family Medicine in Renton, WA

Active since November 13, 2007
4361 TALBOT RD S, SUITE 112, RENTON, WA 98055(425) 255-5111(425) 254-0985 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Associated Valley Providers Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSOCIATED VALLEY PROVIDERS PLLC (NPI 1043490543) is a healthcare organization registered as a family medicine in Renton, Washington and active in the NPI registry since November 2007. The organization lists John L Vanderheyden, Owner, as its authorized official.

NPPES Registry Identity

NPI1043490543
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASSOCIATED VALLEY PROVIDERS PLLC
Location Address4361 TALBOT RD S, SUITE 112Renton, WA 98055-6226
Mailing Address4361 Talbot Rd S, Suite 112Renton, WA 98055-6226 · (425) 255-5111 · Fax (425) 254-0985
Phone(425) 255-5111
Fax(425) 254-0985
Organization SubpartNo
Authorized OfficialJohn L VanderheydenOwner · (425) 255-5111
Enumeration DateNovember 13, 2007
Last NPPES UpdateSeptember 22, 2009
✔ NPI 1043490543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedNurse PractitionerTaxonomy 363L00000X
4361 TALBOT RD S, Renton, WA 98055
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Other Identifiers 3

Medicare UPINGAB29073WA
Medicaid7112634WA
Medicare NSC6225540001WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN L SUMMERFIELD MD
Orthopaedic Surgery (Hand Surgery)
4361 TALBOT RD S, #102
RENTON, WA 98055
King County (425) 226-1180
DR. DEBORAH JEAN KETTERER D.P.M.
Podiatrist (Foot & Ankle Surgery)
4361 TALBOT RD S, SUITE 101
RENTON, WA 98055
King County (425) 271-1351
DAVID P RUOFF, MD, INC, PS.
Orthopaedic Surgery
4361 TALBOT RD S, SUITE 102
RENTON, WA 98055
King County (425) 226-1180
CHILDREN FIRST PEDIATRICS, PLLC
Clinic/Center (Primary Care)
4361 TALBOT RD S, SUITE 103
RENTON, WA 98055
King County (253) 653-5024
RENTON SPORTS & SPINE PT
Physical Therapist
4361 TALBOT RD S, STE 100
RENTON, WA 98055
King County (425) 917-9885
MARY LOUISE MCKEVITT ARNP
Nurse Practitioner
4361 TALBOT RD S
RENTON, WA 98055
King County (425) 255-5111
RENTON SPORTS & SPINE PT
Physical Therapist
4361 TALBOT RD S, SUITE 100
RENTON, WA 98055
King County (425) 917-9885
PROLIANCE SURGEONS, INC., P.S.
Orthopaedic Surgery (Hand Surgery)
4361 TALBOT RD S, SUITE 102
RENTON, WA 98055
King County (425) 226-1180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Associated Valley Providers PLLC's NPI number?

The NPI number for Associated Valley Providers PLLC is 1043490543. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Associated Valley Providers PLLC located?

Associated Valley Providers PLLC is located at 4361 Talbot Rd S Suite 112, Renton, WA 98055. The listed phone number is (425) 255-5111.

What is Associated Valley Providers PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Associated Valley Providers PLLC was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.