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DR. DONALD GENE WORTHAM MD
NPI 1164504197
Clinic/Center - Ambulatory Surgical in Lynnwood, WA

Active since October 19, 2006
19109 36TH AVE W, SUITE 109, LYNNWOOD, WA 98036(425) 744-7771(425) 744-7774 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donald Gene Wortham Md NPPES

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

DR. DONALD GENE WORTHAM MD (NPI 1164504197) is an individual ambulatory surgical provider in Lynnwood, Washington, licensed in Washington (MD00020164) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1164504197
Entity TypeIndividualMale
Primary Taxonomy261QA1903X
Provider Legal NameDR. DONALD GENE WORTHAMCredential: MD
Location Address19109 36TH AVE W, SUITE 109Lynnwood, WA 98036-5767
Mailing Address19109 36th Ave W, Suite 109Lynnwood, WA 98036-5767 · (425) 744-7771 · Fax (425) 744-7774
Phone(425) 744-7771
Fax(425) 744-7774
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateJanuary 22, 2014
✔ NPI 1164504197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in WA · MD00020164
19109 36TH AVE W, Lynnwood, WA 98036
Open in Google Maps ↗

Other Identifiers 4

OtherLABOR & INDUSTRYWA · 107361
Medicare ID-Type UnspecifiedAB10710WA
OtherREGENCEWA · Wo009
Medicare UPINE72553WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 2

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

MR. LEIF BENJESTORF ARNP
Nurse Practitioner (Psychiatric/Mental Health)
19109 36TH AVE W, SUITE # 209
LYNNWOOD, WA 98036
Snohomish County (206) 569-8457
ERIKA GIRALDO PMHNP, DNP
Nurse Practitioner (Psychiatric/Mental Health)
19109 36TH AVE W, #209
LYNNWOOD, WA 98036
Snohomish County (425) 673-7585

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 Donald Wortham's NPI number?

The NPI number for Donald Wortham is 1164504197. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Donald Wortham located?

Donald Wortham practices at 19109 36th Ave W Suite 109, Lynnwood, WA 98036. The listed phone number is (425) 744-7771.

What is Donald Wortham's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Donald Wortham accept?

Health plans from PacificSource Health Plans list Donald Wortham 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 Donald Wortham was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.