PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1154572253
Internal Medicine in Everett, WA

Active since October 07, 2008
1330 ROCKEFELLER AVE, SUITE 210, EVERETT, WA 98201(425) 261-4940(425) 261-4945 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Mar 21, 2025, Mar 2, 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 1154572253), doing business as Pmg Nw Wa N Everett Internal Medicine, is a healthcare organization registered as an internal medicine in Everett, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1154572253
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address1330 ROCKEFELLER AVE, SUITE 210Everett, WA 98201-1676
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Fax(425) 261-4945
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 7, 2008
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1154572253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

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.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1330 ROCKEFELLER AVE, Everett, WA 98201

Other Names 1

Doing Business AsPmg Nw Wa N Everett Internal Medicine

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

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Surgical)
1330 ROCKEFELLER AVE, SUITE 400
EVERETT, WA 98201
Physical Medicine & Rehabilitation
1330 ROCKEFELLER AVE, SUITE 230
EVERETT, WA 98201
Nurse Practitioner (Gerontology)
1330 ROCKEFELLER AVE, SUITE 230
EVERETT, WA 98201
Surgery
1330 ROCKEFELLER AVE
EVERETT, WA 98201
Internal Medicine (Nephrology)
1330 ROCKEFELLER AVE, SUITE 450
EVERETT, WA 98201
Neurological Surgery
1330 ROCKEFELLER AVE, SUITE 220
EVERETT, WA 98201
Physician Assistant
1330 ROCKEFELLER AVE, STE 400
EVERETT, WA 98201
Surgery (Surgical Oncology)
1330 ROCKEFELLER AVE
EVERETT, WA 98201

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 1154572253. It was assigned to this organization in the NPPES registry on October 7, 2008. The provider is doing business as PMG NW WA N Everett Internal Medicine.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 1330 Rockefeller Ave Suite 210, Everett, WA 98201. The listed phone number is (425) 261-4940.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Providence Health & Services - Washington accept?

Health plans from PacificSource Health Plans, 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 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.