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

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

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since October 07, 2008

12800 BOTHELL EVERETT HWY, SUITE 260, EVERETT, WA 98208(425) 316-5080(425) 316-5025 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2025, Mar 21, 2025, Mar 1, 2021 and 1 more (4 updates tracked since 2021).

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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 1912158023), doing business as Pmg Nw Wa Reconstructive & Plastic Surgery, is a healthcare organization registered as a plastic surgery in Everett, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1912158023

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON

Location Address12800 BOTHELL EVERETT HWY, SUITE 260Everett, WA 98208-6642

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786

Phone(425) 316-5080

Fax(425) 316-5025

Organization SubpartNo

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

Enumeration DateOctober 7, 2008

Last NPPES UpdateMay 9, 20254 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1912158023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

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.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

12800 BOTHELL EVERETT HWY, Everett, WA 98208

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Other Names 1

Doing Business AsPmg Nw Wa Reconstructive & Plastic Surgery

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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.

DR. TASNEEM ABBAS SHIKARY MD

Otolaryngology

12800 BOTHELL EVERETT HWY
EVERETT, WA 98208

Snohomish County (425) 316-5100

PROVIDENCE HEALTH & SERVICES - WASHINGTON

General Practice

12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208

Snohomish County (425) 316-5150

RANDALL S. REIMER MD

Internal Medicine

12800 BOTHELL EVERETT HWY, SUITE 180
EVERETT, WA 98208

Snohomish County (425) 316-5130

THERESA MARIE SKURNIK ARNP

Nurse Practitioner

12800 BOTHELL EVERETT HWY
EVERETT, WA 98208

Snohomish County (425) 316-5150

CARL GANNON PA

Nurse Practitioner (Family)

12800 BOTHELL EVERETT HWY
EVERETT, WA 98208

Snohomish County (425) 316-5180

LEE R ARGUE MD

Family Medicine

12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208

Snohomish County (425) 316-5180

GARY DALE MONTGOMERY PA-C

Physician Assistant

12800 BOTHELL EVERETT HWY, STE A
EVERETT, WA 98208

Snohomish County (425) 316-5150

DAVID L. ERICKSON MD

Internal Medicine

12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208

Snohomish County (425) 316-5150

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 1912158023. It was assigned to this organization in the NPPES registry on October 7, 2008. The provider is doing business as PMG NW WA Reconstructive & Plastic Surgery.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 12800 Bothell Everett Hwy Suite 260, Everett, WA 98208. The listed phone number is (425) 316-5080.

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

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.