AESTHETIC SURGERY CENTER
NPI 1558486969
Plastic Surgery - Plastic Surgery Within the Head and Neck in Federal Way, WA
- Organization
- Plastic Surgery
- Plastic Surgery Within the Head and Neck
- CLIA Number: 50D2019643
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About AESTHETIC SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Aesthetic Surgery Center, a provider established in Federal Way, Washington operating as a Plastic Surgery, focusing in plastic surgery within the head and neck . The healthcare provider is registered in the NPI registry with number 1558486969 assigned on March 2007. The practitioner's primary taxonomy code is 2082S0099X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Aesthetic Surgery Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Aesthetic Surgery Center. The authorized official of this NPI record is Dr. Troy J Woodman Md (Owner)
- NPI
- 1558486969 Verify this NPI
- Provider Legal Name
- CEDAR MEDICAL SPECIALTIES, PLLC
- Other Organization Name
- AESTHETIC SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 34503 9TH AVE S SUITE 230 FEDERAL WAY, WA 98003
- Location Phone
- (253) 627-2900
- Location Fax
- (253) 627-2941
- Mailing Address
- 2202 S CEDAR ST SUITE 300 TACOMA, WA 98405
- Mailing Phone
- (253) 627-2900
- Mailing Fax
- (253) 627-2941
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-21-2007
- Last Update Date
- 10-15-2007
- 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
Plastic Surgery Plastic Surgery Within the Head and Neck
- Taxonomy Code
- 2082S0099X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2086S0122X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GAB25810 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA |
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
- 50D2019643
- Facility Type
- Physician Office
- Certificate Effective Date
- February 03, 2011
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JAVAD B. TAVASSOLI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Aesthetic Surgery Center 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558486969, enumerated as an "organization" on March 21, 2007.
The provider is located at 34503 9TH AVE S SUITE 230 FEDERAL WAY, WA 98003 and the phone number is (253) 627-2900.
Plastic Surgery with taxonomy code 2082S0099X and a focus in Plastic Surgery Within the Head and Neck.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
