Olympic Plastic Surgery Center LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

OP00002281 Issued in WA

Legal business name

OLYMPIC PLASTIC SURGERY CENTER LLC

Practice address

9927 Mickelberry Rd NW Ste 121
Silverdale, WA 98383-7861

Phone

(360) 286-2456

Fax

(855) 653-6340

NPI assigned

Feb 26, 2009

Last updated

Feb 21, 2018By 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

Thomas Jan Meeks, D.O.NPI 1609081629

Title

Physician

Phone

(360) 286-2456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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.

• Thomas Jan Meeks, D.O.

  • Plastic Surgery Physician
  • Silverdale, WA
  • NPI 1609081629
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1164662474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW STE 121",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837861",
            "telephone_number": "360-286-2456",
            "fax_number": "855-653-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW STE 121",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837861",
            "telephone_number": "360-286-2456",
            "fax_number": "855-653-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PLASTIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-286-2456",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "OP00002281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olympic Medical Imaging Consultants, PLLC
• Olympic Natural Medicine
• Olympic Peninsula Autism Center (Easter Seals Autism Center)
• Olympic Peninsula Autism Center
• Olympic Penninsula Autism Center
• Adrian Eoin Omalley, MD
• One Heart Wild
• Nicole M. Orando, LMHC
• Mariana Orden
• Monet Manhatten Orr

• Plastic Surgery Physician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.