Providence Health & Services - Washington
NPI 1124279237ActiveOrganization· Family Medicine· Mukilteo, WA
Family Medicine in Mukilteo, Washington, registered in NPPES in October 2008. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Of Enrollments.
Overview
| NPI | 1124279237 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2008 |
| Last updated in NPPES | May 12, 2025 |
| Certified by provider | May 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 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 Family Medicine providers in Mukilteo
- 1922037092
- 1194307454
- 1225118201
- 1033178322
- 1467476606
- 1639270762
- 1316921455
- 1700959780
- 1437127339
- 1912008913
- 1649702754
- 1720586977