Chesnut Institute of Cosmetic & Reconstructive Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY

Practice address

510 S Cowley St
Spokane, WA 99202-1332

Phone

(208) 640-1488

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Cameron Chesnut, MDNPI 1952636672

Title

President / Owner

Phone

(208) 640-1488

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

Chesnut Institute of Cosmetic Reconstructive SurCCN 50C0001325

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Chesnut Institute of Cosmetic Reconstructive Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chesnut Institute of Cosmetic & Reconstructive Surgery

  • Dermatology Physician
  • Spokane, WA
  • NPI 1073146734
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cameron Chesnut, MD

  • Dermatology Physician
  • Spokane, WA
  • NPI 1952636672
  NPD (past) Authorized official

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1063935286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "208-640-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "208-640-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "CHESNUT",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "208-640-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alena Chernova
• Dmitriy Chernyshev
• Daisa Cherry
• Cherrywood Care LLC
• Cherrywood Place-Spokane, LLC
• Chesnut Institute of Cosmetic & Reconstructive Surgery
• Chesnut MD
• Cameron Chesnut, MD
• Michael Edward Chessar, LMHC
• Kawal Dinsa Chester, M.D.

• Ambulatory Surgical Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.