VICTOR R. MICHALAK (NPI# 1104877976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104877976 |
| Entity Type | Organization |
| Organization Name | VICTOR R. MICHALAK |
| Other Organization Name | DBA COSMETIC SURGERY & DERMATOLOGY OF ISSAQUAH, INC. |
| Practice Address |
295 Ne Gilman Blvd Suite 101 Issaquah WA 98027 |
| Mailing Address |
295 Ne Gilman Blvd Suite 101 Issaquah WA 98027-2906 |
| Practice Telephone | 4253912500 |
| Practice Fax Number | 4253916464 |
| Mailing Telephone | 4253912500 |
| Mailing Fax Number | 4253916464 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | TANYA KNOTT (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4253912500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
50-C0001197 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| dba Cosmetic Surgery & Dermatology of Issaquah, Inc. | Doing Business As Name - Organization |
| Street Address |
295 NE GILMAN BLVD SUITE 101 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003863416 | Victor R. Michalak, Md | Dermatology | 295 Ne Gilman Blvd, Suite 101, Issaquah, WA 98027-2906 | 2006-05-30 |
| 1922050616 | Victor Roman Michalak | Specialist | 295 Ne Gilman Blvd, Suite 101, Issaquah, WA 98027-2906 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316135114 | Issaquah Surgery Center, LLC | Clinic/Center | 6505 226th Place Se, Suite 102, Issaquah, WA 98027-8905 | 2007-10-06 |
| 1679858849 | The Eastside Endoscopy Center, LLC | Clinic/Center | 1301 4th Ave Nw, Ste 301, Issaquah, WA 98027-9369 | 2011-10-19 |
| 1093960700 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 510 8th Ave Ne, Suite 100, Issaquah, WA 98029-5436 | 2008-11-21 |
| 1336288703 | Virginia Mason Medical Center | Clinic/Center | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2007-02-05 |
| 1992752919 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 6505 226th Pl Se, Suite 102, Issaquah, WA 98027-8905 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.