PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1912158023
Plastic Surgery in Everett, WA

NPI Status: Active since October 07, 2008

Contact Information

12800 BOTHELL EVERETT HWY
SUITE 260
EVERETT, WA
ZIP 98208
Phone: (425) 316-5080
Fax: (425) 316-5025

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  • Organization
  • Plastic Surgery
  • Accepts Insurance

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 Everett, Washington operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1912158023 assigned on October 2008. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Health & Services - Washington operates as a Multi-Specialty Group with one or more individual practitioners, 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
1912158023
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
12800 BOTHELL EVERETT HWY SUITE 260 EVERETT, WA 98208
Location Phone
(425) 316-5080
Location Fax
(425) 316-5025
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
05-09-2025
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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

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

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)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

 
2207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

 
3207ND0900XAllopathic & Osteopathic Physicians

Dermatology
Dermatopathology

 
4207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

 
5207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

 

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
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*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 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 1912158023, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 1 → 2 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 2 + 5 + 1 + 6 + 0 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1912158023.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Physical Therapist
12800 BOTHELL EVERETT HWY, #100
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Internal Medicine
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Emergency Medicine
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Internal Medicine (Nephrology)
12800 BOTHELL EVERETT HWY, SUITE180
EVERETT, WA 98208
Pediatrics
12800 BOTHELL EVERETT HWY, SUITE 190
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208
Nurse Practitioner
12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208
Nurse Practitioner
12800 BOTHELL EVERETT HWY, STE 180
EVERETT, WA 98208
Surgery (Plastic and Reconstructive Surgery)
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Pharmacist
12800 BOTHELL EVERETT HWY, SUITE 240
EVERETT, WA 98208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912158023, enumerated as an "organization" on October 07, 2008.

The provider is located at 12800 BOTHELL EVERETT HWY SUITE 260 EVERETT, WA 98208 and the phone number is (425) 316-5080.

Plastic Surgery with taxonomy code 208200000X.

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