PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1225335425
Surgery - Vascular Surgery in Everett, WA

Active since February 24, 2011
1330 ROCKEFELLER AVE, STE 520, EVERETT, WA 98201(425) 287-5200(425) 287-5210 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2025, Mar 21, 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 1225335425), doing business as Pmg Nw Wa Ever Vascular Surg, is a healthcare organization registered as a vascular surgery in Everett, Washington and active in the NPI registry since February 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1225335425
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address1330 ROCKEFELLER AVE, STE 520Everett, WA 98201-1684
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Fax(425) 287-5210
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateFebruary 24, 2011
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1225335425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X
Also ListedPhysician AssistantTaxonomy 363A00000X
1330 ROCKEFELLER AVE, Everett, WA 98201

Other Names 1

Doing Business AsPmg Nw Wa Ever Vascular Surg

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 1225335425. It was assigned to this organization in the NPPES registry on February 24, 2011. The provider is doing business as PMG NW WA Ever Vascular Surg.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 1330 Rockefeller Ave Ste 520, Everett, WA 98201. The listed phone number is (425) 287-5200.

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

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

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 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.