Active NPI
Nicolae Vadan, PA
- Surgical Physician Assistant
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA 60115651
- Practice address
- 1330 Rockefeller Ave
Suite 400
Everett, WA 98201-1684 - Phone
- (425) 261-4950
- Fax
- (425) 261-4951
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA 60115651 | WA | Primary |
Addresses
Primary practice location
1330 Rockefeller Ave
Suite 400
Everett, WA 98201-1684
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA10003353 | Other | WA | WSL |
| 2007611 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3726 Broadway
Everett, WA 98201-3788
4225 Hoyt Ave
Everett, WA 98203-2351
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 60115651 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients |
Locations
1330 Rockefeller Ave
Ste 400
Everett, WA 98201
Phone (425) 261-4950
1728 W Marine View Dr
Ste 111
Everett, WA 98201
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122
1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Interoperability endpoints
- nvadan726869@direct.multicare.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba WWMG Department of Psychiatry
- Psychiatry Physician
- Everett, WA
- NPI 1396413803
-
dba PMG NW Wa
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Ambulatory Surgical Clinic/Center
- Arlington, WA
- NPI 1366154304
-
dba PMG NW WA Monroe Family Medicine
- Family Medicine Physician
- Monroe, WA
- NPI 1225289333
-
dba Whitehorse Family Medicine
- Family Medicine Physician
- Arlington, WA
- NPI 1134460959
-
dba Western Washington Medical Group Dept of Infectious Disease
- Infectious Disease Physician
- Everett, WA
- NPI 1427816305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1598083743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-366-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 ROCKEFELLER AVE",
"address_2": "SUITE 400",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011684",
"telephone_number": "425-261-4950",
"fax_number": "425-261-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADAN",
"first_name": "NICOLAE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA 60115651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WSL",
"identifier": "PA10003353",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2007611",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.