Active NPI
William S. Waites, PA-C
- Physician Assistant
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10003522
- Practice address
- 3730 Plaza Way Ste C6100
Kennewick, WA 99338-2718 - Phone
- (509) 591-0070
- Fax
- (509) 396-9661
- NPI assigned
- Apr 28, 2008
- Last updated
- Jan 9, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10003522 | WA | Primary |
Addresses
Primary practice location
3730 Plaza Way Ste C6100
Kennewick, WA 99338-2718
Mailing address
8524 W Gage Blvd
BLDG a-1 Box 319
Kennewick, WA 99336-8241
Phone (509) 591-0070
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
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 George Washington Way
Richland, WA 99352-3411
Phone (509) 946-1695
1516 Jadwin Ave
Richland, WA 99354-2902
Phone (509) 946-1695
1601 N Division St
Suite a
Spokane, WA 99207-2427
Phone (509) 824-6080
3601 Plaza Way
Kennewick, WA 99338-2716
Phone (509) 236-0391
705 Gage Blvd
Suite 200
Richland, WA 99352-9716
Phone (509) 824-6080
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.88 of 100
- Quality
- 44.55
- Improvement activities
- 40
- Cost
- 76.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10003522 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Health & Pain Treatment Group PLLC | Current | Accepting new patients | |
| Tran Urgent Care & Wellness Centers LLC | Past | Accepting new patients | |
| Pinnicale Pain Center | Medical | Past | Accepting new patients |
| Our Lady of Lourdes Health Center | Past | Accepting new patients | |
| Lourdes Hospital LLC | Past | Accepting new patients | |
| Moses Lake Community Health Center | Past | Accepting new patients |
Locations
705 Gage Blvd
Ste 200
Richland, WA 99352
Phone (509) 628-2331
1601 N Division St
Ste A
Spokane, WA 99207
Phone (509) 824-6080
Interoperability endpoints
- https://api.platform.athenahealth.com/21373/brand/1/csg/1/fhir/r4
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BestMed
- Family Medicine Physician
- Richland, WA
- NPI 1821002510
-
- Pain Medicine Physician
- Spokane, WA
- NPI 1124709290
-
dba Lynx Healthcare
- Pain Medicine (Anesthesiology) Physician
- Kennewick, WA
- NPI 1740434356
-
- Pain Medicine Physician
- Richland, WA
- NPI 1487525952
-
dba Quincy Student Health and Wellness Center
- Student Health Clinic/Center
- Quincy, WA
- NPI 1730756644
-
dba Lourdes Family Health Center
- Primary Care Clinic/Center
- Connell, WA
- NPI 1538213616
-
- Medical Physician Assistant
- Kennewick, WA
- NPI 1184171290
-
- Urgent Care Clinic/Center
- Tacoma, WA
- NPI 1003446857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1992970297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8524 W GAGE BLVD",
"address_2": "BLDG A-1 BOX 319",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993368241",
"telephone_number": "509-591-0070",
"fax_number": "509-396-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 PLAZA WAY STE C6100",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382718",
"telephone_number": "509-591-0070",
"fax_number": "509-396-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITES",
"first_name": "WILLIAM",
"middle_name": "S.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10003522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.