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COSMETIC SURGERY & DERMATOLOGY, INC.
NPI 1003863416
Dermatology in Issaquah, WA

Active since May 30, 2006CLIA 50D0684696 · Certificate of Compliance
295 NE GILMAN BLVD, SUITE 101, ISSAQUAH, WA 98027(425) 391-2500(425) 391-6464 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cosmetic Surgery & Dermatology, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSMETIC SURGERY & DERMATOLOGY, INC. (NPI 1003863416) is a healthcare organization registered as a dermatology in Issaquah, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Victor Roman Michalak, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1003863416
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameVICTOR R. MICHALAK, MD
Location Address295 NE GILMAN BLVD, SUITE 101Issaquah, WA 98027-2906
Mailing Address295 Ne Gilman Blvd, Suite 101Issaquah, WA 98027-2906 · (425) 391-2500 · Fax (425) 391-6464
Phone(425) 391-2500
Fax(425) 391-6464
Organization SubpartNo
Authorized OfficialVictor Roman MichalakOwner/physician · (425) 391-2500
Enumeration DateMay 30, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1003863416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
295 NE GILMAN BLVD, Issaquah, WA 98027
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Other Names 1

Doing Business AsCosmetic Surgery & Dermatology, Inc.

Other Identifiers 2

Medicaid7129554WA
Medicare ID-Type UnspecifiedGAB12729WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0684696

Cosmetic Surgery & Dermatology Of Issaquah, Inc · Issaquah, WA
Active · expires Apr 4, 2028
CLIA Number50D0684696
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorVictor R. Michalak
Laboratory Phone(425) 391-2500
Laboratory LocationCosmetic Surgery & Dermatology Of Issaquah, Inc295 NE Gilman Blvd Suite 101, Issaquah, WA 98027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR R. MICHALAK
Clinic/Center (Ambulatory Surgical)
295 NE GILMAN BLVD, SUITE 101
ISSAQUAH, WA 98027
King County (425) 391-2500
DR. VICTOR ROMAN MICHALAK M.D.
Specialist
295 NE GILMAN BLVD, SUITE 101
ISSAQUAH, WA 98027
King County (425) 391-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor R. Michalak, MD's NPI number?

The NPI number for Victor R. Michalak, MD is 1003863416. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider is doing business as Cosmetic Surgery & Dermatology, Inc..

Where is Victor R. Michalak, MD located?

Victor R. Michalak, MD is located at 295 NE Gilman Blvd Suite 101, Issaquah, WA 98027. The listed phone number is (425) 391-2500.

What is Victor R. Michalak, MD's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Victor R. Michalak, MD hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0684696) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Victor R. Michalak, MD accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Victor R. Michalak, MD as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victor R. Michalak, MD was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.