Individual provider Active NPI

Philip Van Huigenbos, DO

  • Family Medicine Physician
  • Snohomish, WA
National Provider Identifier
1902689979
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.OP.70105570 Issued in WA
Practice address
629 Avenue D Ste 1
Snohomish, WA 98290-2303
Phone
(360) 568-1554
Fax
(360) 568-1722
NPI assigned
Aug 15, 2023
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO.OP.70105570 WA
Family Medicine Physician 207Q00000X 100507-851 WI
Family Medicine Physician 207Q00000X DO.OP.70105570 WA Primary

Addresses

Primary practice location

629 Avenue D Ste 1
Snohomish, WA 98290-2303

Mailing address

629 Avenue D Ste 1
Snohomish, WA 98290-2303
Phone (360) 568-1554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905000174 WI Order and Referring Only - Family PracticePractitioner - Family Practice 2264895515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1902689979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 AVENUE D STE 1",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902303",
            "telephone_number": "360-568-1554",
            "fax_number": "360-568-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 AVENUE D STE 1",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902303",
            "telephone_number": "360-568-1554",
            "fax_number": "360-568-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HUIGENBOS",
        "first_name": "PHILIP",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "DO.OP.70105570",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "100507-851",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "DO.OP.70105570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

Verify at the official NPI Registry.