PUGET SOUND PLASTIC SURGICAL GROUP, PLLC (NPI# 1588965438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588965438 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND PLASTIC SURGICAL GROUP, PLLC |
| Practice Address |
12301 Ne 10th Pl Ste 101 Bellevue WA 98005-2487 |
| Mailing Address |
Po Box 723 Kirkland WA 98083-0723 |
| Practice Telephone | 4254202663 |
| Practice Fax Number | 4254096262 |
| Mailing Telephone | (425) 420-2663 |
| Mailing Fax Number | 4254096262 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2017-12-06 |
| Authorized Official Name | DR. BRYAN CHARLES MCINTOSH (OWNER) |
| Authorized Official Telephone | 4254202663 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 60123704 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
12301 NE 10TH PL STE 101 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851753206 | Facialbeauty.com Pllc | Otolaryngology | 12301 Ne 10th Pl Ste 101, Bellevue, WA 98005-2487 | 2016-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801059225 | George Guiho Min | Plastic Surgery | 10047 Main St, Suite 103, Bellevue, WA 98004-6019 | 2008-07-07 |
| 1396129227 | Nicholas A. Flugstad, Md, Ps | Plastic Surgery | 1600 116th Ave Ne Ste 204, Bellevue, WA 98004-3056 | 2015-07-09 |
| 1386991032 | Teri Burnett | Plastic Surgery | 1110 112th Ave Ne, Suite 150, Bellevue, WA 98004 | 2012-08-13 |
| 1982862165 | Bryan Charles Mcintosh | Plastic Surgery | 12301 Ne 10th Pl, Suite 101, Bellevue, WA 98005-2487 | 2008-05-24 |
| 1801069182 | Nicholas Adam Flugstad | Plastic Surgery | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2008-04-08 |
| 1053448282 | Richard Pierce Rand | Plastic Surgery | 1135 116th Ave Ne, Suite 630, Bellevue, WA 98004-4623 | 2007-02-27 |
| 1477610590 | George Marosan | Plastic Surgery | 11820 Northup Way, Suite E-190, Bellevue, WA 98005-1946 | 2007-01-02 |
| 1023179231 | David Roy Stephens | Plastic Surgery | 10687 Ne 2nd St, Bellevue, WA 98004-5727 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146734 | Chesnut Institute of Cosmetic & Reconstructive Surgery | Plastic Surgery | 510 S Cowley St Ste 201, Spokane, WA 99202-1332 | 2020-02-20 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1144725649 | Cmn Industries | Plastic Surgery | 145 Lilly Rd Ne Ste 101, Olympia, WA 98506-5028 | 2018-03-27 |
| 1477071041 | Morgan Warwick Evans | Plastic Surgery | Division of Craniofacial and Plastic Surgery, 4800 Sand Point Way, Ne, Ms Ob.9.520, Seattle, WA 98105-0371 | 2017-09-05 |
| 1083161046 | Robert Knight | Plastic Surgery | 3837 Aurora Ave N, Apt 2, Seattle, WA 98103-2720 | 2016-09-07 |
| 1790134799 | Rmp Logic LLC | Plastic Surgery | 7202 Saint Andrews Ln Se, Snoqualmie, WA 98065-9093 | 2016-06-09 |
| 1275971822 | Eugene Wilbert Goertzen | Plastic Surgery | 1217 Treemont Way Se, Fall City, WA 98024-7425 | 2013-06-05 |
| 1023451317 | Sarah Layne Crandall | Plastic Surgery | 5005 Main St Ste 125, Tacoma, WA 98407-3177 | 2013-04-17 |
| 1184969289 | Robert John Kropp | Plastic Surgery | 760 Overlake Dr E, Medina, WA 98039-4817 | 2012-11-30 |
| 1326390303 | Paul Luu Ps Inc | Plastic Surgery | 5420 Rainier Ave. S, Seattle, WA 98118 | 2012-10-15 |
| 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.