HARBOR PLASTIC SURGERY CENTER PLLC
NPI 1134354533
Clinic/Center - Ambulatory Surgical in Gig Harbor, WA
NPI Status: Active since May 28, 2009
Contact Information
11511 CANTERWOOD BLVD NW
SUITE 310
GIG HARBOR, WA
ZIP 98332
Phone: (253) 858-5040
Fax: (888) 843-2412
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 50D1084720
- CLIA Cert. Type: Other
- CLIA Exp. Date: 04-04-2028
About HARBOR PLASTIC SURGERY CENTER PLLC
This page provides the complete NPI Profile along with additional information for Harbor Plastic Surgery Center Pllc, a provider established in Gig Harbor, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1134354533 assigned on May 2009. The practitioner's primary taxonomy code is 261QA1903X with license number MD00049097 (WA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Justin Howard Piasecki M.d. (Member)
- NPI
- 1134354533
- Provider Name
- HARBOR PLASTIC SURGERY CENTER PLLC
- Entity Type
- Organization
- Location Address
- 11511 CANTERWOOD BLVD NW SUITE 310 GIG HARBOR, WA 98332
- Location Phone
- (253) 858-5040
- Location Fax
- (888) 843-2412
- Mailing Address
- 11511 CANTERWOOD BLVD NW SUITE 310 GIG HARBOR, WA 98332
- Mailing Phone
- (253) 858-5040
- Mailing Fax
- (888) 843-2412
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-28-2009
- Last Update Date
- 12-17-2025
- 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.
- MD00049097
- 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
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*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.
Creation of flap graft to eyelids, nose, ears, lips, or mouth
Creation of flap graft to head and/or neck
Creation of flap graft to midface
Creation of muscle graft to leg
Creation of skin and tissue graft
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
Obtaining ear cartilage for grafting
Repair of wound by transferring skin, 30.1-60.0 sq cm
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, 10.1-30.0 sq cm
Suture repair of turning-outward upper or lower eyelid defect
Transfer of skin flap to eyelids, nose, ears, or lips
A flap graft is a procedure where tissue from a healthy part of your body is moved to repair damaged areas in your eyelids, nose, ears, lips, or mouth. This can help restore function and appearance. The tissue remains connected to its original blood supply, promoting healing.
This service was performed 46 times for 45 patientsA flap graft to the head or neck is a surgical procedure where healthy tissue is moved from one area of your body to another. This is done to replace damaged tissue, improve blood flow, or restore function in the head or neck area.
This service was performed 13 times for 13 patientsA flap graft to the midface is a surgical procedure where a piece of tissue, with its blood supply, is transferred from one area of the body to the midface region. This helps restore form and function, especially after injury or disease.
This service was performed 13 times for 13 patientsA muscle graft to the leg involves taking healthy muscle tissue from another area of your body and transplanting it to your leg. This procedure helps improve blood flow, promote healing, and restore function if your leg muscle is damaged or diseased.
This service was performed 12 times for 11 patientsThe creation of skin and tissue grafts involves taking healthy skin or tissue from one area of your body to replace damaged or missing skin or tissue in another area. This procedure helps heal wounds, burns, or areas affected by disease.
This service was performed 67 times for 66 patientsA full thickness skin graft involves transplanting skin from one area of the body to another. In this case, to the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The procedure helps heal areas affected by injury or disease, covering an area of 20.0 sq cm or less.
This service was performed 14 times for 14 patientsA full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.
This service was performed 96 times for 82 patientsA full-thickness skin graft involves transferring a layer of skin from one area of the body to the scalp, arms, or legs. This procedure, covering an area 20.0 sq cm or less, aids in healing wounds or areas with skin loss. It's a safe, common surgical practice.
This service was performed 16 times for 15 patientsThis procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
This service was performed 16 times for 15 patientsObtaining ear cartilage for grafting involves a minor surgical procedure. A small piece of cartilage is taken from your ear, usually from a hidden area. This cartilage can then be used to repair or reconstruct other parts of the body. The procedure is generally safe with minimal discomfort.
This service was performed 73 times for 69 patientsThis 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.
This service was performed 105 times for 100 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 62 times for 50 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 38 times for 36 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 73 times for 70 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 20 times for 20 patientsSuture repair of an outward-turning eyelid defect is a procedure to correct a condition where the upper or lower eyelid turns outwards. During this procedure, the doctor makes a small incision and uses sutures to tighten the eyelid and restore its normal position.
This service was performed 34 times for 33 patientsThis procedure involves moving a piece of skin, called a flap, from one part of your body to your eyelids, nose, ears, or lips. It's typically done to repair areas affected by injury, disease, or surgery. The goal is to improve function and appearance.
This service was performed 23 times for 23 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D1084720
- Facility Type
- Other
- Certificate Effective Date
- May 12, 2009
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JUSTIN H. PIASECKI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Harbor Plastic Surgery Center Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1134354533, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GIG HARBOR, WA 98332
GIG HARBOR, WA 98332
GIG HARBOR, WA 98332
GIG HARBOR, WA 98332
GIG HARBOR, WA 98332
GIG HARBOR, WA 98332
GIG HARBOR, WA 98332
GIG HARBOR, WA 98332
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134354533, enumerated as an "organization" on May 28, 2009.
The provider is located at 11511 CANTERWOOD BLVD NW SUITE 310 GIG HARBOR, WA 98332 and the phone number is (253) 858-5040.
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 and. Please consult your insurance carrier or call the provider to verify.