Puget Sound Plastic Surgical Group, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PUGET SOUND PLASTIC SURGICAL GROUP, PLLC

Doing business as

Dr. Bryan McIntosh
Puget Sound Plastic Surgical Group

Practice address

12301 NE 10TH PL Ste 101
Bellevue, WA 98005-2487

Phone

(425) 420-2663

Fax

(425) 409-6262

NPI assigned

Nov 13, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Arthur H Gee Jr.

Title

Office Administrator

Phone

(425) 420-2663

Specialties & licenses 1

Addresses

Other names 2

• Dr. Bryan McIntosh Doing business as
• Puget Sound Plastic Surgical Group Doing business as

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1194327221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980830723",
            "telephone_number": "425-420-2663",
            "fax_number": "425-409-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-420-2663",
            "fax_number": "425-409-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND PLASTIC SURGICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "425-420-2663",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bryan McIntosh",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Puget Sound Plastic Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Prutsman
• PT Pro Inc.
• Laura Marie Pucher, MA, LMHC
• Puget Sound Anesthesia Service, PLLC
• Puget Sound Physicians PLLC
• Puget Sound Plastic Surgical Group, PLLC
• Puget Sound Specialty Physicians PLLC
• Alan Pugh
• Lisa Alexius Pujol Boe, MD
• Puneetllc

• Plastic Surgery Physician in Bellevue, WA
• Providers in Bellevue, 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 Nov 13, 2020; 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.