PACIFIC NORTHWEST FACIAL PLASTIC SURGERY (NPI# 1902034770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902034770 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST FACIAL PLASTIC SURGERY |
| Practice Address |
600 Broadway Suite 280 Seattle WA 98122-5395 |
| Practice Telephone | 2063863550 |
| Practice Fax Number | 2063863553 |
| Mailing Telephone | 2063863550 |
| Mailing Fax Number | 2063863553 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | DR. WAYNE FOX LARRABEE (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2063863550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
600 BROADWAY SUITE 280 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871574624 | John A Miyano | Orthopaedic Surgery | 600 Broadway, Suite 440, Seattle, WA 98122 | 2005-11-09 |
| 1912546011 | Carina Renee Ziegler | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2020-01-06 |
| 1477194520 | Michael Gonzalez | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2019-09-30 |
| 1356999213 | Jennifer Mira Alsdorf | Counselor | 600 Broadway, Seattle, WA 98122-5229 | 2019-09-03 |
| 1780231316 | Allyson Bortoletto | Student in an Organized Health Care Education/Training Program | 600 Broadway, Seattle, WA 98122-5229 | 2019-08-19 |
| 1295202547 | Frauke Dorothea John | Student in an Organized Health Care Education/Training Program | 600 Broadway, Suite 170, Seattle, WA 98122 | 2018-10-25 |
| 1457863532 | Rebecca Locker Bean | Social Worker | 600 Broadway, Seattle, WA 98122-5229 | 2017-10-30 |
| 1235658527 | Jens Cinquemani | Social Worker | 600 Broadway, Seattle, WA 98122-5229 | 2017-09-18 |
| 1053830349 | Keylee Bernardita Fernandez | Student in an Organized Health Care Education/Training Program | 600 Broadway, Seattle, WA 98122-5229 | 2017-09-18 |
| 1225557515 | Maria Mohamed Abdullahi | Student in an Organized Health Care Education/Training Program | 600 Broadway, Seattle, WA 98122-5229 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679871222 | Kara Kaiser LLC | Clinic/Center | 9236 26th Ave Nw, Seattle, WA 98117-2815 | 2011-03-07 |
| 1093836652 | Northwest Foot & Ankle Associates, P.s. | Clinic/Center | 1545 Ne 65th St, Seattle, WA 98115-6800 | 2007-04-02 |
| 1437202249 | Pacmed Clinics | Clinic/Center | 1101 Madison St Ste 400, Seattle, WA 98104-3599 | 2007-01-18 |
| 1811936990 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 900 Terry Ave, 3rd Floor, Seattle, WA 98104-4230 | 2006-06-05 |
| 1386615912 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 501 N 34th St, Suite 101, Seattle, WA 98103-8645 | 2006-01-31 |
| 1871095489 | Evergreen Eye Center, Inc. P.s. | Clinic/Center | 1229 Madison St Ste 1250, Seattle, WA 98104-3568 | 2018-02-28 |
| 1982149761 | The Polyclinic | Clinic/Center | 1229 Madison St, Suite 1090, Seattle, WA 98104-3586 | 2017-01-03 |
| 1013387729 | Group Health Cooperative | Clinic/Center | 201 16th Ave E, Suite Cmb-2, Seattle, WA 98112-5226 | 2015-10-07 |
| 1306217039 | First Hill Surgery Center LLC | Clinic/Center | 1101 Madison St, Suite 200, Seattle, WA 98104-1306 | 2015-10-07 |
| 1609245331 | Salem Surgical Services, LLC | Clinic/Center | 1700 7th Ave, Suite 116, Seattle, WA 98101-1397 | 2015-09-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.