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

Peter Derrick

Individual provider Anesthesiology Physician · NPI 1114184496

Peter Derrick is an Anesthesiology in Seattle, Washington. Qualified in 2006, 20 years ago. Practices with Providence Wa Anesthesia Services, PC, a 85-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
20
Licensed in
WA
In the registry since
2008

Practice location Address checks out

6541 50th Ave NE
Seattle, WA 98115-7736
Phone: (415) 596-8017
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD60138640 (WA)

Record details

NPI number1114184496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2008
Last updated in NPPESJune 4, 2017
Mailing address6541 50th Ave Ne, Seattle, WA 98115-7736

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Providence Wa Anesthesia Services, Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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