Organization Active NPI

Swedish Health Services

Doing business as Swedish Physician Division

  • General Practice Physician
  • Renton, WA
National Provider Identifier
1497129696
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SWEDISH HEALTH SERVICES
Doing business as
Swedish Physician Division
Practice address
4105 NE 4TH St
Renton, WA 98059-5012
Phone
(888) 227-3312
NPI assigned
Nov 25, 2015
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Assistant Secreatry for Enrollment
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

4105 NE 4TH St
Renton, WA 98059-5012

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608

Other names 1

  • Swedish Physician Division Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031230000187 WA Part B Supplier - Clinic/Group Practice 0244138196 Receives reassigned benefits from 1,386 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

7707 SE 27th St
Mercer Island, WA 98040
Phone (206) 232-1197

1801 Lind Ave SW
Renton, WA 98057

1101 Madison St
Ste 1500
Seattle, WA 98104
Phone (206) 215-3200

1221 Madison St
Ste 1523
Seattle, WA 98104
Phone (206) 292-6464

1401 Madison St
#100
Seattle, WA 98104
Phone (206) 386-6054

1531 Broadway
Seattle, WA 98122
Phone (206) 204-0599

1600 E Jefferson St
Ste 110
Seattle, WA 98122
Phone (206) 320-7300

550 17th Ave
Ste 110
Seattle, WA 98122
Phone (206) 320-3470

600 Broadway
Ste 200
Seattle, WA 98122
Phone (206) 215-1770

801 Broadway
Ste 500
Seattle, WA 98122
Phone (206) 215-5921

859 NE Northgate Way
Seattle, WA 98125
Phone (206) 417-0520

604 NW Richmond Beach Rd
Shoreline, WA 98177
Phone (206) 533-2900

Practitioners & affiliated clinicians

Practitioners 186

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 186

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1497129696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 NE 4TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980595012",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEDISH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECREATRY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swedish Physician Division",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swedish Physician Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.