BASHIOUM COSMETIC SURGERY CENTER, LTD.
NPI 1104252022
Plastic Surgery in Wayzata, MN

Active since September 24, 2013
445 LAKE ST E STE 210, WAYZATA, MN 55391(952) 449-4900(952) 449-9531 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Plastic Surgery
  • Accepts Insurance

About BASHIOUM COSMETIC SURGERY CENTER, LTD.

This page provides the complete NPI Profile along with additional information for Bashioum Cosmetic Surgery Center, Ltd., a provider established in Wayzata, Minnesota operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1104252022 assigned on September 2013. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Ralph W Bashioum Md (President)

NPI
1104252022 Verify this NPI
Provider Name
BASHIOUM COSMETIC SURGERY CENTER, LTD.
Entity Type
Organization
Location Address
445 LAKE ST E STE 210 WAYZATA, MN 55391
Location Phone
(952) 449-4900
Location Fax
(952) 449-9531
Mailing Address
2854 HIGHWAY 55 SUITE 130 EAGAN, MN 55121
Mailing Phone
(952) 449-4900
Mailing Fax
(952) 449-9531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2013
Last Update Date
01-16-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RALPH W BASHIOUM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 449-4900

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104252022, enumerated as an "organization" on September 24, 2013.

The provider is located at 445 LAKE ST E STE 210 WAYZATA, MN 55391 and the phone number is (952) 449-4900.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.