Providence Health & Services- Washington

NPI 1124270715ActiveOrganization· General Practice· Everett, WA

General Practice in Everett, Washington, registered in NPPES in October 2008. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Of Enrollments. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1124270715
Status	Active
Entity type	Organization
NPI issued	Oct 15, 2008
Last updated in NPPES	Feb 19, 2026
Certified by provider	Feb 19, 2026

Specialties and licenses

Taxonomy	Code	License	State
General Practice Primary	208D00000X	—	—
Social Worker, Clinical	1041C0700X	—	—
Physical Therapist	225100000X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AK); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AK); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

Other general practitioners in Everett

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1013169507
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1548677511
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1871634691
Quynh-Nhu Pham Nizza, M.D.
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1437172947

All general practitioners in Washington