Plastic Surgery Associates of Seattle, PLLC

Key facts

NPI

1215259262

Entity type

Organization (NPI type 2)

Primary specialty

Specialist 174400000X

License

MD00025723 (WA)

Legal business name

PLASTIC SURGERY ASSOCIATES OF SEATTLE, PLLC

Practice address

901 Boren Ave
Suite 1650
Seattle, WA 98104-3595

Phone

(206) 464-0873

NPI assigned

Feb 18, 2010

Organization subpart

No

Authorized official

Name

Dr. Mary Lee Peters

Title

Managing Partner

Phone

(206) 464-0873

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 18, 2010.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1215259262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE",
            "address_2": "SUITE 1650",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE",
            "address_2": "SUITE 1650",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043595",
            "telephone_number": "206-464-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES OF SEATTLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MARY LEE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "206-464-0873",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00025723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

• Kyra Planetz
• Kelsey Plank
• Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky
• Barry J Plant, MD
• Matthew Plantinga, PT
• Plastic Surgery Seattle, PS
• Renata Edyta Plata-Pniak, PT
• Philip Brent Plattner, M.D.
• Ashley Marie Platts, LMHC
• Sarah Katherine Plautz, OT

All providers in Seattle, WA · Specialist in Washington