Providence Health & Services - Washington
NPI 1417191057ActiveOrganization· Urology· Walla Walla, WA
Urology in Walla Walla, Washington, registered in NPPES in April 2009. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Of Enrollments.
Overview
| NPI | 1417191057 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2009 |
| Last updated in NPPES | Mar 6, 2026 |
| Certified by provider | Mar 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | HAC.FS.00000050 | WA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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