PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1417191057
Urology in Walla Walla, WA
NPI Status: Active since April 27, 2009
Contact Information
301 W POPLAR ST
SUITE 50
WALLA WALLA, WA
ZIP 99362
Phone: (509) 522-5832
Fax: (509) 522-5516
- Organization
- Urology
About PROVIDENCE HEALTH & SERVICES - WASHINGTON
This page provides the complete NPI Profile along with additional information for Providence Health & Services - Washington, a provider established in Walla Walla, Washington operating as a Urology. The healthcare provider is registered in the NPI registry with number 1417191057 assigned on April 2009. The practitioner's primary taxonomy code is 208800000X with license number HAC.FS.00000050 (WA). The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)
- NPI
- 1417191057
- Provider Name
- PROVIDENCE HEALTH & SERVICES - WASHINGTON
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 301 W POPLAR ST SUITE 50 WALLA WALLA, WA 99362
- Location Phone
- (509) 522-5832
- Location Fax
- (509) 522-5516
- Mailing Address
- PO BOX 31001 - 4110 PASADENA, CA 91110
- Mailing Phone
- (509) 522-5906
- Mailing Fax
- (509) 522-5789
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2009
- Last Update Date
- 03-06-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- HAC.FS.00000050
- License State
- WA
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417191057, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417191057, enumerated as an "organization" on April 27, 2009.
The provider is located at 301 W POPLAR ST SUITE 50 WALLA WALLA, WA 99362 and the phone number is (509) 522-5832.
Urology with taxonomy code 208800000X.
