Cascadian Plastic Surgery PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

CASCADIAN PLASTIC SURGERY PLLC

Practice address

14 N Mission St Ste 201
Wenatchee, WA 98801-2250

Phone

(509) 596-0096

Fax

(509) 596-0225

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Jungwon Genevieve Park, M.D., PH.D.NPI 1285080846

Title

Physician

Phone

(509) 596-0096

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.

• Jungwon Genevieve Park, M.D., PH.D.

  • Plastic and Reconstructive Surgery Physician
  • Wenatchee, WA
  • NPI 1285080846
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1396447876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N MISSION ST STE 201",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012250",
            "telephone_number": "509-596-0096",
            "fax_number": "509-596-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MISSION ST STE 201",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012250",
            "telephone_number": "509-596-0096",
            "fax_number": "509-596-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADIAN PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNGWON",
        "authorized_official_middle_name": "GENEVIEVE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-596-0096",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Carter, AU.D
• Tracie J Carter, PA-C
• Evan Charles Caruthers
• Cascade Dentist
• Cascade Pain Management & Orthopedics
• Garrett Cash, LMHCA
• Dalia Guadalupe Casillas
• Sean Caskey, D.O.
• Anna Maria Victoria Casswell
• Kimberly Castaneda Marin

• Plastic and Reconstructive Surgery Physician in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Plastic and Reconstructive Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.