Organization Active NPI

Bellevue Plastic Surgery Center

Doing business as Newvue Plastic Surgery PC

  • Ambulatory Surgical Clinic/Center
  • Bellevue, WA
National Provider Identifier
1083955330
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BELLEVUE PLASTIC SURGERY CENTER
Doing business as
Newvue Plastic Surgery PC
Practice address
10047 Main St
Suite 103
Bellevue, WA 98004-6019
Phone
(425) 463-9883
Fax
(425) 968-4631
NPI assigned
Mar 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
George Guiho Min, M.D.
Title
President
Phone
(425) 463-9883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

10047 Main St
Suite 103
Bellevue, WA 98004-6019

Mailing address

10047 Main St
Suite 103
Bellevue, WA 98004-6019
Phone (425) 463-9883

Other names 1

  • Newvue Plastic Surgery PC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2176976Bellevue Plastic Surgery Center10047 Main St Ste 103, Bellevue, WA 98004Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1083955330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10047 MAIN ST",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046019",
            "telephone_number": "425-463-9883",
            "fax_number": "425-968-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10047 MAIN ST",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046019",
            "telephone_number": "425-463-9883",
            "fax_number": "425-968-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "GUIHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-463-9883",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newvue Plastic Surgery PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.