PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1902057029
Internal Medicine in Everett, WA

NPI Status: Active since October 07, 2008

Contact Information

1330 ROCKEFELLER AVE
SUITE 230
EVERETT, WA
ZIP 98201
Phone: (425) 261-4925
Fax: (425) 261-4932

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  • Organization
  • Internal Medicine
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES - WASHINGTON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Washington, an internist established in Everett, Washington operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1902057029 assigned on October 2008. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated May 2025. Providence Health & Services - Washington operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1902057029
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1330 ROCKEFELLER AVE SUITE 230 EVERETT, WA 98201
Location Phone
(425) 261-4925
Location Fax
(425) 261-4932
Mailing Address
PO BOX 31001-4114 PASADENA, CA 91110
Mailing Phone
(425) 358-9786
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2008
Last Update Date
05-14-2025
Code Navigator

An internist like Providence Health & Services - Washington is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12471B0102XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Bone Densitometry

 
2332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
3363LG0600XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Gerontology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Reviews for PROVIDENCE HEALTH & SERVICES - WASHINGTON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902057029
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902051404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 0 + 5 + 1 + 4 + 0 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1902057029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

JOHN F MATISTA PA-C

Physician Assistant

(Medical)

1330 ROCKEFELLER AVE
SUITE 225
EVERETT, WA
ZIP 98201

(425) 261-4910

JOHN C VANDREE MD

Internal Medicine

(Pulmonary Disease)

1330 ROCKEFELLER AVE
SUITE 340
EVERETT, WA
ZIP 98201

(425) 252-1116

NEALE D SMITH MD

Internal Medicine

(Cardiovascular Disease)

1330 ROCKEFELLER AVE
SUITE 540
EVERETT, WA
ZIP 98201

(425) 261-3430

ANDREW S SOHN MD

Internal Medicine

(Rheumatology)

1330 ROCKEFELLER AVE
SUITE 330
EVERETT, WA
ZIP 98201

(425) 252-8375

DAVID LIAO MD

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

1330 ROCKEFELLER AVE
SUITE 330
EVERETT, WA
ZIP 98201

(425) 259-4413

TRACY SPENCER MD

Hospitalist

1330 ROCKEFELLER AVE
EVERETT, WA
ZIP 98201

(425) 261-2000

JAMES MICHAEL GEIER MD

Neurological Surgery

1330 ROCKEFELLER AVE
SUITE 220
EVERETT, WA
ZIP 98201

(425) 261-4920

GEORGE A. DIAZ MD

Internal Medicine

(Infectious Disease)

1330 ROCKEFELLER AVE
SUITE 210
EVERETT, WA
ZIP 98201

(425) 261-4940

EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY, P.S.

Internal Medicine

(Cardiovascular Disease)

1330 ROCKEFELLER AVE
225
EVERETT, WA
ZIP 98201

(425) 261-4910

MRS. TERESA ALTMAN ROSE R.N., BSN

Registered Nurse

(Cardiac Rehabilitation)

1330 ROCKEFELLER AVE
225
EVERETT, WA
ZIP 98201

(425) 261-4910

DR. JANE ELIZABETH LEWIS M.D.

Internal Medicine

(Critical Care Medicine)

1330 ROCKEFELLER AVE
SUITE 340
EVERETT, WA
ZIP 98201

(425) 740-2033

PROVIDENCE HEALTH & SERVICES-WA

Orthopaedic Surgery

(Orthopaedic Surgery of the Spine)

1330 ROCKEFELLER AVE
SUITE 225
EVERETT, WA
ZIP 98201

(425) 261-4960

DR. KENNY P KOO M.D.

Surgery

1330 ROCKEFELLER AVE
#120
EVERETT, WA
ZIP 98201

(425) 339-5442

MICHAEL MILLIE MD

Surgery

1330 ROCKEFELLER AVE
EVERETT, WA
ZIP 98201

(425) 339-5442

KELLY B WEAVER MD

Physical Medicine & Rehabilitation

1330 ROCKEFELLER AVE
EVERETT, WA
ZIP 98201

(425) 339-5476

DR. PERRY A SORIANO MD

Surgery

(Surgical Oncology)

1330 ROCKEFELLER AVE
EVERETT, WA
ZIP 98201

(425) 339-5442

DAWNA RUTH ROFF-CRANE ARNP

Nurse Practitioner

(Gerontology)

1330 ROCKEFELLER AVE
SUITE 230
EVERETT, WA
ZIP 98201

(425) 261-4925

SALWA R LABIB MD

Internal Medicine

(Nephrology)

1330 ROCKEFELLER AVE
SUITE 450
EVERETT, WA
ZIP 98201

(425) 258-6801

MARK E GUNNING MD

Internal Medicine

(Nephrology)

1330 ROCKEFELLER AVE
SUITE 450
EVERETT, WA
ZIP 98201

(425) 258-6801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902057029, enumerated as an "organization" on October 07, 2008.

The provider is located at 1330 ROCKEFELLER AVE SUITE 230 EVERETT, WA 98201 and the phone number is (425) 261-4925.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.