BAXTER PLASTIC SURGERY
NPI 1174076210
Clinic/Center - Ambulatory Surgical in Mountlake Terrace, WA

NPI Status: Active since July 25, 2016

Contact Information

6100 219TH ST SW
SUITE 290
MOUNTLAKE TERRACE, WA
ZIP 98043
Phone: (425) 776-0880

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Ambulatory Surgical
CLIA Number: 50D2177705
CLIA Cert. Type: Ambulatory Surgery Center
CLIA Exp. Date: 04-04-2028

About BAXTER PLASTIC SURGERY

This page provides the complete NPI Profile along with additional information for Baxter Plastic Surgery, a provider established in Mountlake Terrace, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1174076210 assigned on July 2016. The practitioner's primary taxonomy code is 261QA1903X with license number MD00022150 (WA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Richard Alan Baxter M.d. (Owner)

NPI: 1174076210
Provider Name: BAXTER PLASTIC SURGERY
Entity Type: Organization
Location Address: 6100 219TH ST SW SUITE 290 MOUNTLAKE TERRACE, WA 98043
Location Phone: (425) 776-0880
Mailing Address: 6100 219TH ST SW SUITE 290 MOUNTLAKE TERRACE, WA 98043
Mailing Phone: (425) 776-0880
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-25-2016
Last Update Date: 07-25-2016
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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.: MD00022150
License State: WA

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. RICHARD ALAN BAXTER M.D.
Authorized Official Title: OWNER
Authorized Official Phone: (425) 776-0880

CLIA 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: 50D2177705
Facility Type: Ambulatory Surgery Center
Certificate Effective Date: January 16, 2020
Certificate Expiration Date: April 04, 2028
Laboratory Director: RICHARD A. BAXTER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Baxter Plastic Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	7	4	0	7	6	2	1	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	14	4	0	7	12	2	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 0 + 7 + 1 + 2 + 2 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1174076210 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 17 providers are registered at the same or nearby location.

DR. WILLIAM B. ERICSON JR. M.D.

Orthopaedic Surgery

6100 219TH ST SW
ERICSON HAND AND NERVE CENTER
MOUNTLAKE TERRACE, WA
ZIP 98043

About BAXTER PLASTIC SURGERY

Location Map

Specialty - Primary Taxonomy

Clinic/Center Ambulatory Surgical

Authorized Official

DR. RICHARD ALAN BAXTER M.D.

CLIA Information

Reviews for BAXTER PLASTIC SURGERY

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is BAXTER PLASTIC SURGERY's NPI number?

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What is the provider's specialty?