PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1770734881
Internal Medicine in Monroe, WA

NPI Status: Active since October 07, 2008

Contact Information

19200 N KELSEY ST
MONROE, WA
ZIP 98272
Phone: (360) 794-9101
Fax: (360) 794-4759

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  • Organization
  • Internal Medicine
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES - WASHINGTON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Washington, an internist established in Monroe, Washington operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1770734881 assigned on October 2008. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1770734881
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
19200 N KELSEY ST MONROE, WA 98272
Location Phone
(360) 794-9101
Location Fax
(360) 794-4759
Mailing Address
PO BOX 31001-4114 PASADENA, CA 91110
Mailing Phone
(425) 358-9786
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2008
Last Update Date
05-14-2025
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An internist like Providence Health & Services - Washington is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Reviews for PROVIDENCE HEALTH & SERVICES - WASHINGTON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770734881
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401438816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 4 + 3 + 8 + 8 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1770734881 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366676330 JEFFREY ALLEN WALLHOFF M.D.
Individual
Family Medicine19200 N KELSEY ST
MONROE, WA 98272
(360) 794-7994
1134537376MS. JENNIFER LYNN WILSON
Individual
Student in an Organized Health Care Education/Training Program19200 N KELSEY ST
MONROE, WA 98272
(360) 794-5555
1750482345 JEFFREY D. HAMBLETON MD
Individual
Family Medicine19200 N KELSEY ST SUITE 100
MONROE, WA 98272
(360) 794-7994
1578664132 WENDY C. IMBERG ARNP
Individual
Nurse Practitioner19200 N KELSEY ST
MONROE, WA 98272
(360) 794-7994
1639360662 JULIE JUNGELS MD
Individual
Internal Medicine19200 N KELSEY ST
MONROE, WA 98272
(360) 794-7994
1013968254 A CHANCELLOR PELL PA-C
Individual
Physician Assistant19200 N KELSEY ST
MONROE, WA 98272
(360) 794-7994
1811381700 STEPHANIE HUYNH PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)19200 N KELSEY ST
MONROE, WA 98272
(360) 805-4706
1538540489MRS. TUYET-TRINH THI HO PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)19200 N KELSEY ST
MONROE, WA 98272
(360) 794-5555
1528442415 SHIRLEY WING-TING CHONG PHARM.D
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)19200 N KELSEY ST
MONROE, WA 98272
(360) 805-4706
1558735605 DUC MAI
Individual
Pharmacist19200 N KELSEY ST
MONROE, WA 98272
(360) 794-5555
1396034567 RAJNI KAUR AULAKH M.D.
Individual
Psychiatry & Neurology (Psychiatry)19200 N KELSEY ST
MONROE, WA 98272
(425) 316-5062
1922538735 TERESA LYNNE WHEELER PHARMD
Individual
Pharmacist19200 N KELSEY ST
MONROE, WA 98272
(360) 794-5555
1316477789 APRIL SUEN PHARMD
Individual
Pharmacist19200 N KELSEY ST
MONROE, WA 98272
(515) 441-1374
1174053540 POONAM PATEL
Individual
Pharmacist19200 N KELSEY ST
MONROE, WA 98272
(360) 794-7994
1831405117MS. SABRINA J WALKER MSW
Individual
Social Worker (Clinical)19200 N KELSEY ST
MONROE, WA 98272
(425) 316-5062
1972074938LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory19200 N KELSEY ST
MONROE, WA 98272
(360) 794-1005
1174829899 MATTHEW PATRICK LANGEDYKE MSW, LICSW
Individual
Social Worker (Clinical)19200 N KELSEY ST
MONROE, WA 98272
(425) 316-5062
1235618166 SPENCER MISTER LSWAIC
Individual
Social Worker (Clinical)19200 N KELSEY ST
MONROE, WA 98272
(360) 794-7994
1407286503 ELIZABETH BARRERA D.O.
Individual
Family Medicine (Addiction Medicine)19200 N KELSEY ST
MONROE, WA 98272
(360) 794-7994
1184812273DR. EDWARD PAUL BAHK D.O.
Individual
Internal Medicine19200 N KELSEY ST
MONROE, WA 98272
(360) 794-9101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770734881, enumerated in the NPI registry as an "organization" on October 07, 2008

The provider is located at 19200 N Kelsey St Monroe, Wa 98272 and the phone number is (360) 794-9101

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 07, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.