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PROVIDENCE HEALTH & SERVICES-WASHINGTON
NPI 1114236791
Surgery in Everett, WA

Active since September 30, 2010
1330 ROCKEFELLER AVENUE, SUITE 400, EVERETT, WA 98201(425) 261-4950(425) 261-4951 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2025, Mar 20, 2025, Apr 16, 2021 (3 updates tracked since 2021).

About Providence Health & Services-washington NPPES

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

PROVIDENCE HEALTH & SERVICES-WASHINGTON (NPI 1114236791), doing business as Pmg Nw Wa Cardiovascular And Thoracic Surgery, is a healthcare organization registered as a surgery in Everett, Washington and active in the NPI registry since September 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1114236791
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePROVIDENCE HEALTH & SERVICES-WASHINGTON
Location Address1330 ROCKEFELLER AVENUE, SUITE 400Everett, WA 98201-1676
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Phone(425) 261-4950
Fax(425) 261-4951
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateSeptember 30, 2010
Last NPPES UpdateMay 9, 20253 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1114236791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
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.
1330 ROCKEFELLER AVENUE, Everett, WA 98201
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Other Names 1

Doing Business AsPmg Nw Wa Cardiovascular And Thoracic Surgery

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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 Providence Health & Services-Washington's NPI number?

The NPI number for Providence Health & Services-Washington is 1114236791. It was assigned to this organization in the NPPES registry on September 30, 2010. The provider is doing business as PMG NW WA Cardiovascular and Thoracic Surgery.

Where is Providence Health & Services-Washington located?

Providence Health & Services-Washington is located at 1330 Rockefeller Avenue Suite 400, Everett, WA 98201. The listed phone number is (425) 261-4950.

What is Providence Health & Services-Washington's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Providence Health & Services-Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services-Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services-Washington was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.