Stella Desyatnikova MD PLLC

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

Legal business name

STELLA DESYATNIKOVA MD PLLC

Practice address

509 Olive Way # 1430
Suite 1430
Seattle, WA 98101-1720

Phone

(206) 682-3223

Fax

(206) 682-3224

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Stella Desyatnikova, MDNPI 1376509174

Title

Owner

Phone

(425) 744-1760

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.

• Stella Desyatnikova, M.D.

  • Facial Plastic Surgery Physician
  • Seattle, WA
  • NPI 1376509174
  NPD (past) Authorized official

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326074881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY # 1430",
            "address_2": "SUITE 1430",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-682-3223",
            "fax_number": "206-682-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY # 1430",
            "address_2": "SUITE 1430",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-682-3223",
            "fax_number": "206-682-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA DESYATNIKOVA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESYATNIKOVA",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-744-1760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle J. Steinman, M.D.
• Suzanne Elise Steinman, M.D.
• Tookata N. Steitzer, ARNP
• Richard Walter Steketee, MD, MPH
• Joanne D Stekler
• Darcie L Stella, PT
• Fievel Jack Steller, MSW
• Stellers Integrative Psychiatry PLLC
• Emily Elizabeth Stelnicki
• Victoria Allyn Stelter, LMT, CLD, CPICD,CEIM

• Plastic Surgery Physician in Seattle, WA
• Providers in Seattle, 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 Aug 22, 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.