ETERNA VEIN & MEDICAL AESTHETICS, PLLC
NPI 1366785685
Surgery - Vascular Surgery in Puyallup, WA

Q: What is Eterna Vein & Medical Aesthetics, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since April 04, 2013

1803 S MERIDIAN, PUYALLUP, WA 98371(253) 268-3400 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Eterna Vein & Medical Aesthetics, Pllc NPPES

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

ETERNA VEIN & MEDICAL AESTHETICS, PLLC (NPI 1366785685) is a healthcare organization registered as a vascular surgery in Puyallup, Washington and active in the NPI registry since April 2013. The organization lists Robert W Osborne, Owner, as its authorized official.

NPPES Registry Identity

NPI1366785685

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameETERNA VEIN & MEDICAL AESTHETICS, PLLC

Location Address1803 S MERIDIANPuyallup, WA 98371-7513

Mailing Address1803 S MeridianPuyallup, WA 98371-7513 · (253) 268-3400

Phone(253) 268-3400

Organization SubpartNo

Authorized OfficialRobert W OsborneOwner · (253) 268-3400

Enumeration DateApril 4, 2013

Last NPPES UpdateJune 13, 2013

✔ NPI 1366785685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in WA · 603211178

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1803 S MERIDIAN, Puyallup, WA 98371

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eterna Vein & Medical Aesthetics, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eterna Vein & Medical Aesthetics, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mark Kim, MD

Vascular Surgery

NPI 1053403634

1803 S MERIDIAN
Puyallup, WA 98371

(253) 268-3400

✔ PECOS✔ Accepts MedicareSame address

Megan Barker

Nurse Practitioner

NPI 1083080956

9230 SKY ISLAND DR E
Bonney Lake, WA 98391

(253) 750-6000

✔ PECOS5.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eterna Vein & Medical Aesthetics, PLLC's NPI number?

The NPI number for Eterna Vein & Medical Aesthetics, PLLC is 1366785685. It was assigned to this organization in the NPPES registry on April 4, 2013.

Where is Eterna Vein & Medical Aesthetics, PLLC located?

Eterna Vein & Medical Aesthetics, PLLC is located at 1803 S Meridian, Puyallup, WA 98371. The listed phone number is (253) 268-3400.

What is Eterna Vein & Medical Aesthetics, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Eterna Vein & Medical Aesthetics, PLLC enrolled in Medicare?

Yes. Eterna Vein & Medical Aesthetics, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eterna Vein & Medical Aesthetics, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Eterna Vein & Medical Aesthetics, PLLC, in Nurse Practitioner and Vascular Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eterna Vein & Medical Aesthetics, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Eterna Vein & Medical Aesthetics, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eterna Vein & Medical Aesthetics, PLLC was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.