Iyengar Plastic Surgery PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

IYENGAR PLASTIC SURGERY PLLC

Practice address

4210 10TH St SE
Puyallup, WA 98374-2191

Phone

(253) 840-5397

NPI assigned

Jun 7, 2024

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vidya Iyengar

Title

Ceo

Phone

(253) 840-5397

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajiv Jaisimha Iyengar, MD

  • Plastic and Reconstructive Surgery Physician
  • Puyallup, WA
  • NPI 1386171361
  NPD

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1104668508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731689",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983730017",
            "telephone_number": "253-840-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 10TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742191",
            "telephone_number": "253-840-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYENGAR PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "IYENGAR",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-840-5397"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaacwells LLC
• Joanne Sorenson Iverson, R.PH.
• Nichol T Iverson, MD
• Rowan Ives, AAC
• Nekia Ivory Daniel
• Rajiv Jaisimha Iyengar, MD
• Heather R Izzi, LMP
• J. Michaelson, Jr. M.D. Facog, P.S.
• J. Perry Ormiston, D.D.S., M.S.D., P.S. (Ormiston Orthodontics)
• Erin A Jackowski, OT

• Plastic and Reconstructive Surgery Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Plastic and Reconstructive Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.