PROVIDENCE HEALTH & SERVICES-WASHINGTON
NPI 1508000449
Internal Medicine - Cardiovascular Disease in Everett, WA

Active since April 22, 2009
12800 BOTHELL EVERETT HWY, SUITE 160, EVERETT, WA 98208(425) 316-5490(425) 225-1002 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Mar 21, 2025, Apr 1, 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 1508000449), doing business as Pmg Nw Wa Cardiology, is a healthcare organization registered as a cardiovascular disease in Everett, 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

NPI1508000449
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES-WASHINGTON
Location Address12800 BOTHELL EVERETT HWY, SUITE 160Everett, WA 98208-6644
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Fax(425) 225-1002
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 22, 2009
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1508000449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
12800 BOTHELL EVERETT HWY, Everett, WA 98208

Other Names 2

Doing Business AsPmg Nw Wa Cardiology
Doing Business AsProvidence Physician Group

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.

Otolaryngology
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
General Practice
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Internal Medicine
12800 BOTHELL EVERETT HWY, SUITE 180
EVERETT, WA 98208
Nurse Practitioner
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Nurse Practitioner (Family)
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208
Otolaryngology
12800 BOTHELL EVERETT HWY, SUITE 110
EVERETT, WA 98208
Physician Assistant
12800 BOTHELL EVERETT HWY, STE A
EVERETT, WA 98208

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 1508000449. It was assigned to this organization in the NPPES registry on April 22, 2009. The provider is doing business as PMG NW WA Cardiology and Providence Physician Group.

Where is Providence Health & Services-Washington located?

Providence Health & Services-Washington is located at 12800 Bothell Everett Hwy Suite 160, Everett, WA 98208. The listed phone number is (425) 316-5490.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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 14 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.