FACIALBEAUTY.COM, PLLC (NPI# 1205226099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205226099 |
| Entity Type | Organization |
| Organization Name | FACIALBEAUTY.COM, PLLC |
| Practice Address |
11040 Main St Suite 102 Bellevue WA 98004-6363 |
| Mailing Address |
2620 Bellevue Way Ne #125 Bellevue WA 98004-2209 |
| Practice Telephone | 4252274000 |
| Mailing Telephone | 4252274000 |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-01-31 |
| Authorized Official Name | GLYNIS THAKUR (CONSULTANT) |
| Authorized Official Telephone | 4255333307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
WA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FACIALBEAUTY.COM, PLLC | 2340 130th Ave Ne Ste 202, Bellevue, WA 98005-1763 |
| Street Address |
11040 MAIN ST SUITE 102 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-6363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371060 | Cloud 9 Surgery Center | Otolaryngology | 1231 116th Ave Ne Ste 900, Bellevue, WA 98004-3822 | 2019-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750802328 | Brittany Regan Barber | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195 | 2017-07-04 |
| 1598103970 | Jeffrey Cabral Teixeira | Otolaryngology | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-06-07 |
| 1831351360 | Jeffrey John Houlton | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-26 |
| 1588854178 | Clinic for Ear Nose Throat Head & Neck Medicine & Surgery P S | Otolaryngology | 307 S 12th Ave, Suite 12, Yakima, WA 98902-3100 | 2007-07-30 |
| 1316020159 | Neal David Futran | Otolaryngology | 1959 Ne Pacific St, Box 356515, Seattle, WA 98195-6515 | 2006-10-23 |
| 1184716144 | Robert Verne Wiggins | Otolaryngology | 825 Se Bishop Blvd, Suite 130, Pullman, WA 99163-5517 | 2006-09-28 |
| 1134139595 | Marc William Herr | Otolaryngology | 9040 Jackson Ave, Tacoma, WA 98431-4501 | 2006-08-09 |
| 1316972292 | David Edward Vokes | Otolaryngology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-07-11 |
| 1346289865 | Michael J. Wolfe | Otolaryngology | 1101 Madison St, Suite 301, Seattle, WA 98104-1306 | 2006-06-06 |
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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.