PACIFIC NORTHWEST PLASTIC SURGERY, PS - NPI 1205951910 - Specialist in University Place, WA

Q: What is Pacific Northwest Plastic Surgery, Ps's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

On this page

About Pacific Northwest Plastic Surgery, Ps NPPES

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

PACIFIC NORTHWEST PLASTIC SURGERY, PS (NPI 1205951910) is a healthcare organization registered as a specialist in University Place, Washington and active in the NPI registry since March 2007. The organization lists Ross Maglaque Realica, President, as its authorized official.

NPPES Registry Identity

NPI1205951910

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePACIFIC NORTHWEST PLASTIC SURGERY, PS

Location Address5016 BRIDGEPORT WAY W, SUITE AUniversity Place, WA 98467-2039

Mailing Address5016 Bridgeport Way W, Suite AUniversity Place, WA 98467-2039 · (253) 761-9515 · Fax (253) 761-1306

Phone(253) 761-9515

Fax(253) 761-1306

Organization SubpartNo

Authorized OfficialRoss Maglaque RealicaPresident · (253) 761-9515

Enumeration DateMarch 20, 2007

Last NPPES UpdateJanuary 18, 2012

✔ NPI 1205951910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · 37332

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5016 BRIDGEPORT WAY W, University Place, WA 98467

Open in Google Maps ↗

Other Identifiers 3

Medicaid1107846WA

Medicare UPING97318WA

Medicare ID-Type UnspecifiedAB10224WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

PEARL EYE CARE CENTER, P.S.

Optometrist

5016 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98467

Pierce County (253) 472-1188

NOBLE EYES SPECIALTY & MEDSPA

Optometrist

5016 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98467

Pierce County (253) 472-1188

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 Pacific Northwest Plastic Surgery, Ps's NPI number?

The NPI number for Pacific Northwest Plastic Surgery, Ps is 1205951910. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Pacific Northwest Plastic Surgery, Ps located?

Pacific Northwest Plastic Surgery, Ps is located at 5016 Bridgeport Way W Suite A, University Place, WA 98467. The listed phone number is (253) 761-9515.

What is Pacific Northwest Plastic Surgery, Ps's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pacific Northwest Plastic Surgery, Ps was last updated on January 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.