Stella Desyatnikova, M.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

MD0041231 Issued in WA

Practice address

509 Olive Way
Suite 1430
Seattle, WA 98101-1720

Phone

(206) 682-3223

Fax

(206) 682-3224

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stella Desyatnikova MD PLLC

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Seattle, WA
  • NPI 1326074881
  NPD (past) Authorized official
• The Stella Center for Facial Plastic Surgery

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1619188869
  NPD (past) Authorized official

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1376509174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1430",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-682-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1430",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-682-3223",
            "fax_number": "206-682-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESYATNIKOVA",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "WA",
            "license": "MD0041231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Simone Dessayer
• Andualem A. Dessie, RRT
• Tingrit Desta
• Anaya Theta Destan, RPH
• Ariell Rose Desure, MD
• Barbara J. Detering, M.D.
• Ann R. Determan, RC
• Jana Kathleen Detrick, MA
• Malia Winona Dettori, DPT
• Susan E Detweiler, MD

• Facial Plastic Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Facial Plastic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.