Glenn Sons Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60888200 Issued in WA

Practice address

1800 Cooks Hill Rd Ste G
Centralia, WA 98531-9162

Phone

(360) 736-3042

Fax

(360) 736-2967

NPI assigned

Apr 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Washington School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis County Community Health ServicesGroup PAC ID 6002803749, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glenn.sons.p1@direct.valleyviewhc.nextgenshare.com

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.

• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Chehalis, WA
  • NPI 1134164692
  Medicare reassignment Care Compare group
• Public Hospital District No 1 of Mason County

  • Critical Access Hospital
  • Shelton, WA
  • NPI 1760568752
  Medicare reassignment
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Pe Ell, WA
  • NPI 1548520059
  NPD
• Public Hospital District No 1 of Mason County

  • Clinic/Center
  • Hoodsport, WA
  • NPI 1548699408
  NPD
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Raymond, WA
  • NPI 1205196540
  NPD (past)
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Morton, WA
  • NPI 1700146206
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Washington

  • General Acute Care Hospital
  • Centralia, WA
  • NPI 1376624981
  Care Compare affiliation

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1912439431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322412",
            "telephone_number": "360-330-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOKS HILL RD STE G",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319162",
            "telephone_number": "360-736-3042",
            "fax_number": "360-736-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONS",
        "first_name": "GLENN",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60888200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108711",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara L Smyth
• Caiden J Sobolesky-Gammon
• Behrooz Rufino Soleimani, ARNP, DNP
• Jaekyung Song, M.D.
• Gregory A Sonntag, P.T.
• Janessa Rose Sorlien, COTA/L
• Emma Soteros, AAC, CPC
• Levi Robert Soteros
• South Creek SNF Healthcare LLC
• South Puget Sound ABA LLC

• Physician Assistant in Centralia, WA
• Providers in Centralia, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.

Verify at the official NPI Registry.