PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1710386818
Orthopaedic Surgery in Spokane Valley, WA

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

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since August 14, 2014

16528 DESMET CT, SPOKANE VALLEY, WA 99216(509) 994-8920(509) 227-7070 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2025, Feb 10, 2025, May 14, 2024 and 1 more (4 updates tracked since 2020).

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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 1710386818), doing business as Pmg E Wa Pmp Orthopedics Dme, is a healthcare organization registered as an orthopaedic surgery in Spokane Valley, Washington and active in the NPI registry since August 2014. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1710386818

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON

Location Address16528 DESMET CTSpokane Valley, WA 99216-3522

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (509) 474-2072

Phone(509) 994-8920

Fax(509) 227-7070

Organization SubpartNo

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

Enumeration DateAugust 14, 2014

Last NPPES UpdateMay 5, 20254 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1710386818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

16528 DESMET CT, Spokane Valley, WA 99216

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Other Names 1

Doing Business AsPmg E Wa Pmp Orthopedics Dme

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateWashingtonEnrollment IDO20141122000508DME · Independently-Practicing Occupational TherapistDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN RYAN KELLOGG PA-C

Physician Assistant (Surgical)