Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Dennis L Loudenback, PAC

Individual provider Surgical Physician Assistant · NPI 1932135274

Mr. Dennis L Loudenback, PAC is a Physician Assistant in Edmonds, Washington. Qualified in 1992, 34 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
34
Licensed in
WA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7315 212th St SW Ste 201
Edmonds, WA 98026-7610
Phone: (425) 778-8116
Fax: (425) 775-9526
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10003233 (WA)

Record details

NPI number1932135274
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 25, 2006
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edmonds