DBA COSMETIC SURGERY & DERMATOLOGY OF ISSAQUAH, INC.
NPI 1104877976
Clinic/Center - Ambulatory Surgical in Issaquah, WA
NPI Status: Active since May 15, 2006
Contact Information
295 NE GILMAN BLVD
SUITE 101
ISSAQUAH, WA
ZIP 98027
Phone: (425) 391-2500
Fax: (425) 391-6464
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
About DBA COSMETIC SURGERY & DERMATOLOGY OF ISSAQUAH, INC.
This page provides the complete NPI Profile along with additional information for Dba Cosmetic Surgery & Dermatology Of Issaquah, Inc., a provider established in Issaquah, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1104877976 assigned on May 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 50-C0001197 (WA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Dba Cosmetic Surgery & Dermatology Of Issaquah, Inc.. The authorized official of this NPI record is Tanya Knott (Practice Administrator)
- NPI
- 1104877976
- Provider Legal Name
- VICTOR R. MICHALAK
- Other Organization Name
- DBA COSMETIC SURGERY & DERMATOLOGY OF ISSAQUAH, INC.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 295 NE GILMAN BLVD SUITE 101 ISSAQUAH, WA 98027
- Location Phone
- (425) 391-2500
- Location Fax
- (425) 391-6464
- Mailing Address
- 295 NE GILMAN BLVD SUITE 101 ISSAQUAH, WA 98027
- Mailing Phone
- (425) 391-2500
- Mailing Fax
- (425) 391-6464
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2006
- Last Update Date
- 08-07-2018
- Code Navigator
Location Map
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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 50-C0001197
- License State
- WA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
Repair of wound of trunk by transferring skin, 10.0 sq cm or less
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
This service was performed 78 times for 60 patientsThis procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
This service was performed 20 times for 18 patientsThis procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.
This service was performed 32 times for 26 patientsThis 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.
This service was performed 18 times for 17 patientsThis procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.
This service was performed 24 times for 19 patientsThis procedure involves repairing a wound on your scalp, arm, or leg by moving skin from another part of your body. The skin transferred will cover an area between 10.1 to 30.0 square cm. This helps promote healing and reduce scarring.
This service was performed 22 times for 18 patientsThis procedure involves repairing a wound on your body's trunk area (chest, abdomen, or back) using a skin graft. A piece of healthy skin, typically 10.0 square cm or less, is taken from another area of your body and transplanted to the wound site to aid healing.
This service was performed 15 times for 14 patientsReviews for DBA COSMETIC SURGERY & DERMATOLOGY OF ISSAQUAH, INC.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104877976, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104877976, enumerated as an "organization" on May 15, 2006.
The provider is located at 295 NE GILMAN BLVD SUITE 101 ISSAQUAH, WA 98027 and the phone number is (425) 391-2500.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
