1. Home
  2. Directory
  3. Washington
  4. Walla Walla
  5. Internal Medicine
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1235373879
Internal Medicine - Nephrology in Walla Walla, WA

Active since April 27, 2009
301 W POPLAR ST, SUITE 100, WALLA WALLA, WA 99362(509) 522-5824(509) 522-5738 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, May 6, 2025 (2 updates tracked since 2025).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1235373879) is a healthcare organization registered as a nephrology in Walla Walla, Washington and active in the NPI registry since April 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1235373879
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address301 W POPLAR ST, SUITE 100Walla Walla, WA 99362-2858
Mailing AddressPo Box 31001 - 4110Pasadena, CA 91110-4110 · (509) 522-5906 · Fax (509) 522-5789
Phone(509) 522-5824
Fax(509) 522-5738
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 27, 2009
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1235373879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in WA · HAC.FS.00000050
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
301 W POPLAR ST, Walla Walla, WA 99362
Open in Google Maps ↗

Other Names 1

Other NameProvidence Smmc Nephrology Dme

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

KENNETH H Z ISAACS MD
Psychiatry & Neurology (Neurology)
301 W POPLAR ST, SUITE 230
WALLA WALLA, WA 99362
Walla Walla County (509) 525-1084
DOUGLAS EDISON WEST PAC
Physician Assistant
301 W POPLAR ST, STE 220
WALLA WALLA, WA 99362
Walla Walla County (509) 522-1030
DR. GUY FRANK GEHLING MD
Neurological Surgery
301 W POPLAR ST, STE 220
WALLA WALLA, WA 99362
Walla Walla County (509) 522-1030
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Durable Medical Equipment & Medical Supplies
301 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 526-3333
DR. JASON ADAM DREYER DO
Neurological Surgery
301 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 522-1030
DR. FREDERICK IAN FIELD M.D., FACS
Surgery
301 W POPLAR ST, SUITE 50
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5765
MRS. AIDAH ESAREY M.S., FAAA
Audiologist
301 W POPLAR ST, STE 210
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5825
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Internal Medicine (Gastroenterology)
301 W POPLAR ST, SUITE 210
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5825

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 1235373879. It was assigned to this organization in the NPPES registry on April 27, 2009. The provider is also known as Providence SMMC Nephrology DME.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 301 W Poplar St Suite 100, Walla Walla, WA 99362. The listed phone number is (509) 522-5824.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.