Organization Active NPI

Northwest Aesthetic Surgeons Inc

  • Plastic Surgery Physician
  • Coupeville, WA
National Provider Identifier
1043408537
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD00011222 Issued in WA
Legal business name
NORTHWEST AESTHETIC SURGEONS INC
Doing business as
Whidbey Plastic Surgery Center
Practice address
107 S Main St Ste D101
Coupeville, WA 98239-3547
Phone
(360) 678-2128
Fax
(360) 678-1878
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David H Slepyan, MD
Title
President/Owner
Phone
(360) 678-2128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD00011222 WA Primary

Addresses

Primary practice location

107 S Main St Ste D101
Coupeville, WA 98239-3547

Mailing address

107 S Main St Ste D101
Coupeville, WA 98239-3547
Phone (360) 678-2128

Other names 1

  • Whidbey Plastic Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

107 S Main St
Ste D101
Coupeville, WA 98239
Phone (360) 678-2128

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1043408537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST STE D101",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393547",
            "telephone_number": "360-678-2128",
            "fax_number": "360-678-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST STE D101",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393547",
            "telephone_number": "360-678-2128",
            "fax_number": "360-678-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST AESTHETIC SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "SLEPYAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-678-2128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00011222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whidbey Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.