Organization Active NPI

Amadi Aesthetics Plastic Surgery PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Seattle, WA
National Provider Identifier
1417463720
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
MD000039588 Issued in WA
Legal business name
AMADI AESTHETICS PLASTIC SURGERY PLLC
Practice address
1503 2ND Ave W
Seattle, WA 98119-3007
Phone
(206) 216-4500
Fax
(206) 216-4501
NPI assigned
Dec 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Dr. Arash Jian Amadi, MD
Title
Owner
Phone
(206) 216-4500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X MD000039588 WA Primary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA10005371 WA

Addresses

Primary practice location

1503 2ND Ave W
Seattle, WA 98119-3007

Mailing address

1503 2ND Ave W
Seattle, WA 98119-3007
Phone (206) 216-4500

Other names 1

  • Amadi Aesthetics Other name

National Provider Directory

National Provider Directory

Locations

1503 2nd Ave W
Seattle, WA 98119
Phone (206) 216-4500

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1417463720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 2ND AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193007",
            "telephone_number": "206-216-4500",
            "fax_number": "206-216-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 2ND AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193007",
            "telephone_number": "206-216-4500",
            "fax_number": "206-216-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADI AESTHETICS PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "ARASH",
        "authorized_official_middle_name": "JIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-216-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD000039588",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10005371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amadi Aesthetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.