NORTHSTAR SURGICAL SERVICES, PLLC (NPI# 1609102706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609102706 |
| Entity Type | Organization |
| Organization Name | NORTHSTAR SURGICAL SERVICES, PLLC |
| Practice Address |
2150 N 107th St Suite 520 Seattle WA 98133-1305 |
| Practice Telephone | 4258363900 |
| Practice Fax Number | 4258363907 |
| Mailing Telephone | 4258363900 |
| Mailing Fax Number | 4258363907 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |
| Authorized Official Name | DR. KHASHAYAR DEHGHAN (MEMBER/OWNER) |
| Authorized Official Telephone | 6185319518 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD00047758 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
2150 N 107TH ST SUITE 520 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295761328 | Sarvesh Smiley Thakur | Internal Medicine | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2006-06-23 |
| 1568881944 | Heather Buckle | Naturopath | 2150 N 107th St, Ste 400, Seattle, WA 98133-1305 | 2014-04-14 |
| 1174949762 | Trilisa Madison | Naturopath | 2150 N 107th St, Suite 400, Seattle, WA 98133-1305 | 2014-03-06 |
| 1104173038 | Dr. Paul S. Anderson, PC | Non-Pharmacy Dispensing Site | 2150 N 107th St, Suite 400, Seattle, WA 98133-1305 | 2012-08-09 |
| 1548582281 | Erica Anne Shutes | Counselor | 2150 N 107th St, Suite 220, Seattle, WA 98133-1305 | 2010-02-23 |
| 1831353200 | Pacific Footwear Company Inc | Durable Medical Equipment & Medical Supplies | 2150 N 107th St, Suite 204, Seattle, WA 98133-1305 | 2008-07-15 |
| 1891991956 | Transplant and Nephrology Northwest Pllc | Internal Medicine | 2150 N 107th St, Suite 520, Seattle, WA 98133-1305 | 2007-06-25 |
| 1598983413 | Deborah L Hill | Clinical Neuropsychologist | 2150 N 107th St, Suite 345, Northway East Building, Seattle, WA 98133-1305 | 2007-04-23 |
| 1265650972 | Child Psychology Northwest, P.s. | Clinical Neuropsychologist | 2150 N 107th St, Suite 345, Northway East Building, Seattle, WA 98133-1305 | 2007-04-20 |
| 1740355692 | Recovery Options Northwest, Inc | Counselor | 2150 N 107th St, Suite 200, Seattle, WA 98133-1305 | 2006-11-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
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| 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 |
|---|---|---|---|---|
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 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 |
| 1326390303 | Paul Luu Ps Inc | Plastic Surgery | 5420 Rainier Ave. S, Seattle, WA 98118 | 2012-10-15 |
| 1821384868 | Minh-bao Mundschenk | Plastic Surgery | Already Listed As 1959 Ne Pacific St, Seattle, WA 98195-1010 | 2011-06-28 |
| 1477847929 | Lawrence M. Stilinovic | Plastic Surgery | 2600 2nd Ave, Suite 2502, Seattle, WA 98121-1247 | 2011-06-01 |
| 1346551223 | Megan Henderson Dreveskracht | Plastic Surgery | 14031 Stone Ave N, Seattle, WA 98133-7018 | 2010-06-25 |
| 1124100672 | Paul Luu | Plastic Surgery | 5420 Rainier Ave South, Seattle, WA 98118-2439 | 2006-10-20 |
| 1699883181 | Peter Ralph Chatard Jr. | Plastic Surgery | 1200 N Northgate Way, Seattle, WA 98133-8916 | 2006-08-26 |
| 1083151914 | Alaska Plastic Surgery LLC | Plastic Surgery | 1101 Madison St, Suite 1270, Seattle, WA 98104-1306 | 2017-01-30 |
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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.