NPIMap

Organization Active NPI

Swedish Health Services

Doing business as Swedish Prof Health Service Cardiology

  • Cardiovascular Disease Physician
  • Edmonds, WA
National Provider Identifier
1659328177
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SWEDISH HEALTH SERVICES
Doing business as
Swedish Prof Health Service Cardiology
Practice address
21616 76TH Ave W
Ste 212
Edmonds, WA 98026-7512
Phone
(425) 776-6999
Fax
(425) 776-9899
NPI assigned
May 29, 2006
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Nuclear Cardiology Physician 207UN0901X

Addresses

Primary practice location

21616 76TH Ave W
Ste 212
Edmonds, WA 98026-7512

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other names 1

  • Swedish Prof Health Service Cardiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000104 WA Part B Supplier - Clinic/Group Practice 7517870645 Receives reassigned benefits from 95 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Port Angeles, WA; Sequim, WA; Seattle, WA; Renton, WA; Bellevue, WA; Edmonds, WA; Everett, WA; Issaquah, WA…

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 of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6520 226th Pl SE
Issaquah, WA 98027
Phone (425) 391-8886

1560 N 115th St
Ste 205
Seattle, WA 98133

1801 NW Market St
Ste 208
Seattle, WA 98107
Phone (206) 368-6876

4100 SW Alaska St
#B
Seattle, WA 98116
Phone (206) 320-3399

550 16th Ave
Ste 420
Seattle, WA 98122
Phone (206) 322-9373

550 17th Ave
Ste 450
Seattle, WA 98122
Phone (206) 320-6500

801 Broadway
Ste 725
Seattle, WA 98122
Phone (206) 215-3168

840 N 5th Ave
#2300
Sequim, WA 98382
Phone (360) 582-2840

Practitioners & affiliated clinicians

Practitioners 90

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 90

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1659328177",
    "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",
            "telephone_number": "206-320-4476",
            "fax_number": "206-320-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21616 76TH AVE W",
            "address_2": "STE 212",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267512",
            "telephone_number": "425-776-6999",
            "fax_number": "425-776-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEDISH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "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": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swedish Prof Health Service Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swedish Prof Health Service Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.