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

Active since July 25, 2016CLIA 50D2177705 · Waiver
6100 219TH ST SW, SUITE 290, MOUNTLAKE TERRACE, WA 98043(425) 776-0880 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baxter Plastic Surgery NPPES

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

BAXTER PLASTIC SURGERY (NPI 1174076210) is a healthcare organization registered as an ambulatory surgical in Mountlake Terrace, Washington and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Richard Alan Baxter, Owner, as its authorized official.

NPPES Registry Identity

NPI1174076210
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBAXTER PLASTIC SURGERY
Location Address6100 219TH ST SW, SUITE 290Mountlake Terrace, WA 98043-2222
Mailing Address6100 219th St Sw, Suite 290Mountlake Terrace, WA 98043-2222 · (425) 776-0880
Organization SubpartNo
Authorized OfficialRichard Alan BaxterOwner · (425) 776-0880
Enumeration DateJuly 25, 2016
NPI 1174076210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in WA · MD00022150
6100 219TH ST SW, Mountlake Terrace, WA 98043

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 50D2177705

Baxter Plastic Surgery · Mountlake Terrace, WA
Active · expires Apr 4, 2028
CLIA Number50D2177705
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 16, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRichard A. Baxter
Laboratory Phone(425) 776-0880
Laboratory LocationBaxter Plastic Surgery6100 219th St SW Ste 290, Mountlake Terrace, WA 98043
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Orthopaedic Surgery
6100 219TH ST SW, ERICSON HAND AND NERVE CENTER
MOUNTLAKE TERRACE, WA 98043
Home Health
6100 219TH ST SW, SUITE 400
MOUNTLAKE TERRACE, WA 98043
Surgery (Plastic and Reconstructive Surgery)
6100 219TH ST SW, SUITE 290
MOUNTLAKE TERRACE, WA 98043
Counselor (Mental Health)
6100 219TH ST SW
MOUNTLAKE TERRACE, WA 98043
Occupational Therapist
6100 219TH ST SW, SUITE 400
MOUNTLAKE TERRACE, WA 98043
Clinic/Center
6100 219TH ST SW, SUITE 540
MOUNTLAKE TERRACE, WA 98043
Plastic Surgery
6100 219TH ST SW, #290
MOUNTLAKE TERRACE, WA 98043
Physical Therapist
6100 219TH ST SW
MOUNTLAKE TERRACE, WA 98043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baxter Plastic Surgery's NPI number?

The NPI number for Baxter Plastic Surgery is 1174076210. It was assigned to this organization in the NPPES registry on July 25, 2016.

Where is Baxter Plastic Surgery located?

Baxter Plastic Surgery is located at 6100 219th St SW Suite 290, Mountlake Terrace, WA 98043. The listed phone number is (425) 776-0880.

What is Baxter Plastic Surgery's specialty?

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

Does Baxter Plastic Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2177705) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baxter Plastic Surgery was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.