OH PLASTIC AND RECONSTRUCTIVE SURGERY LLC (NPI# 1336637081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336637081 |
| Entity Type | Organization |
| Organization Name | OH PLASTIC AND RECONSTRUCTIVE SURGERY LLC |
| Practice Address |
602 27th Ave E Seattle WA 98112 |
| Mailing Address |
602 27th Ave E Seattle WA 98112-4737 |
| Practice Telephone | 2067148021 |
| Mailing Telephone | 2067148021 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | DR. EUGENE OH (OWNER) |
| Authorized Official Telephone | 2067148021 |
| Authorized Official Credential | MD, PHD, SCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | MD60470774 | WA | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
MD60470774 | WA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD60470774 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1972980615 | 05 |
| Street Address |
602 27TH AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| 1891127643 | Johanna Landinez | Psychiatry & Neurology | 310 15th Ave E Bldg 4th, Seattle, WA 98112 | 2013-08-04 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821154790 | Alexander Gougoutas | Surgery | 1560 N 115th St Ste 206, Seattle, WA 98133-8414 | 2006-12-28 |
| 1699337865 | Mert Calis | Surgery | 4800 Sand Point Way Ne, O.b.9.520, Seattle, WA 98105 | 2019-07-08 |
| 1114580396 | Christina Beck | Surgery | 325 9th Ave, Seattle, WA 98104 | 2019-04-15 |
| 1356760664 | Stephen Lee Viviano | Surgery | 1959 Ne Pacific St, Seattle, WA 98195-2425 | 2014-04-15 |
| 1447592282 | Howard Wang | Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-03-19 |
| 1982970513 | Eugene Oh | Surgery | 1550 N 115th St, Seattle, WA 98133 | 2012-03-28 |
| 1134435787 | William P Schmitt | Surgery | 1100 9th Ave, Seattle, WA 98101-2756 | 2010-08-20 |
| 1225342991 | Shannon Margaret Colohan | Surgery | 1959 Ne Pacific St, Uwmc Division of Plastic Surgery, Seattle, WA 98195-0001 | 2010-08-04 |
| 1073835427 | Downey Plastic Surgery Tr | Surgery | 1536 N 115th St, Suite 105, Seattle, WA 98133-8400 | 2010-02-25 |
| 1548402308 | Janelle Dubbins Sousa | Surgery | 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-0001 | 2009-03-25 |
| Find all providers in SEATTLE | ||||
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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.