PROVIDENCE HEALTH & SERVICES-WASHINGTON - NPI 1265683650

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Providence Health & Services-washington NPPES

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

PROVIDENCE HEALTH & SERVICES-WASHINGTON (NPI 1265683650), doing business as Pmg Nw Wa Monroe Pediatrics, is a healthcare organization registered as a pediatrics in Monroe, 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

NPI1265683650

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePROVIDENCE HEALTH & SERVICES-WASHINGTON

Location Address19200 N KELSEY STMonroe, WA 98272-1431

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (253) 589-7864

Phone(360) 794-7994

Fax(360) 805-4757

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateOctober 4, 2008

Last NPPES UpdateMay 12, 20253 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1265683650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

19200 N KELSEY ST, Monroe, WA 98272

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Other Names 2

Doing Business AsPmg Nw Wa Monroe Pediatrics

Doing Business AsProvidence Physician 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 ›

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.

A CHANCELLOR PELL PA-C

Physician Assistant