CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY
NPI 1063935286
Clinic/Center - Ambulatory Surgical in Spokane, WA

Q: What is Chesnut Institute Of Cosmetic & Reconstructive Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 19, 2017CLIA 50D2138171 · Waiver

510 S COWLEY ST, SPOKANE, WA 99202(208) 640-1488 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

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About Chesnut Institute Of Cosmetic & Reconstructive Surgery NPPES

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

CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY (NPI 1063935286) is a healthcare organization registered as an ambulatory surgical in Spokane, Washington and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Cameron Chesnut, President / Owner, as its authorized official.

NPPES Registry Identity

NPI1063935286

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY

Location Address510 S COWLEY STSpokane, WA 99202-1332

Mailing Address510 S Cowley StSpokane, WA 99202-1332 · (208) 640-1488

Phone(208) 640-1488

Organization SubpartNo

Authorized OfficialCameron ChesnutPresident / Owner · (208) 640-1488

Enumeration DateJuly 19, 2017

Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2024

✔ NPI 1063935286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

Also ListedDermatologyTaxonomy 207N00000X

510 S COWLEY ST, Spokane, WA 99202

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 Waiver 50D2138171

Chesnut Institute Of Cosmetic And Reconstructive Surgery PLLC · Spokane, WA

Active · expires Apr 4, 2028

CLIA Number50D2138171

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 11, 2017

Certificate Expiration DateApril 4, 2028

Laboratory DirectorCameron Chesnut

Laboratory Phone(208) 640-1488

Laboratory LocationChesnut Institute Of Cosmetic And Reconstructive Surgery PLLC510 S Cowley St Ste 201, Spokane, WA 99202

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

41 services39 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

24 services24 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

13 services13 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

12 services12 patients

Other Providers at the Same Location NPPES 11

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

NEAL J. PETERSON MD

Ophthalmology