PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1639468259
Neurological Surgery in Everett, WA

Active since April 05, 2011
1717 13TH ST, SUITE 401, EVERETT, WA 98201(425) 297-6400(425) 297-6405 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, Sep 7, 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 1639468259), doing business as Pmg Nw Wa Cranial Spine And Joint Clinic, is a healthcare organization registered as a neurological surgery in Everett, Washington and active in the NPI registry since April 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1639468259
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address1717 13TH ST, SUITE 401Everett, WA 98201-1621
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Fax(425) 297-6405
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 5, 2011
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1639468259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
1717 13TH ST, Everett, WA 98201

Other Names 1

Doing Business AsPmg Nw Wa Cranial Spine And Joint Clinic

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.

Internal Medicine (Hematology & Oncology)
1717 13TH ST, SUITE 300
EVERETT, WA 98201
Radiologic Technologist (Radiation Therapy)
1717 13TH ST
EVERETT, WA 98201
Internal Medicine (Hematology & Oncology)
1717 13TH ST
EVERETT, WA 98201
Internal Medicine (Hematology & Oncology)
1717 13TH ST
EVERETT, WA 98201
Pharmacist
1717 13TH ST
EVERETT, WA 98201
Nurse Practitioner
1717 13TH ST
EVERETT, WA 98201
Hospitalist
1717 13TH ST
EVERETT, WA 98201
Internal Medicine (Medical Oncology)
1717 13TH ST
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 1639468259. It was assigned to this organization in the NPPES registry on April 5, 2011. The provider is doing business as Pmg NW Wa Cranial Spine And Joint Clinic.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 1717 13th St Suite 401, Everett, WA 98201. The listed phone number is (425) 297-6400.

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

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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.