Providence Health & Services - Wa
NPI 1003050709ActiveOrganization· General Practice· Mukilteo, WA
General Practice in Mukilteo, Washington, registered in NPPES in April 2009. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Of Enrollments.
Overview
| NPI | 1003050709 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2009 |
| Last updated in NPPES | Jul 25, 2025 |
| Certified by provider | Jul 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Mukilteo
- 1306201488
- 1134462120