Artistic Plastic Surgery Center PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

602804600 Issued in WA

Legal business name

ARTISTIC PLASTIC SURGERY CENTER PLLC

Practice address

3515 S 15TH St
Suite 101
Tacoma, WA 98405-1952

Phone

(253) 756-0933

Fax

(253) 759-6553

NPI assigned

Dec 13, 2006

Organization subpart

Yes

Parent organization

NORTHSTAR SURGICAL SERVICES, PLLCAs reported in NPPES

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

Authorized official

Name

Kelly Lane

Title

Administrator

Phone

(253) 756-0933

Specialties & licenses 1

Addresses

Other names 1

• Artistic Plastic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

Artistic Plastic Surgery Center PLLC3 organizations share this tax ID, including this one

Part of

Northstar Surgical Services PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Artistic Plastic Surgery Center PLLC

  • Ambulatory Surgical Clinic/Center
  • Tacoma, WA
  • NPI 1407011570
  NPD tax ID
• Artistic Plastic Surgery Center PLLC

  • Medical Specialty Clinic/Center
  • Tacoma, WA
  • NPI 1982871950
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northstar Surgical Services, PLLC

  • Plastic Surgery Physician
  • Seattle, WA
  • NPI 1609102706
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khashayar Dehghan, M.D., PHD

  • Plastic and Reconstructive Surgery Physician
  • Tacoma, WA
  • NPI 1801801659
  Medicare reassignment NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1457412017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 S 15TH ST",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051952",
            "telephone_number": "253-756-0933",
            "fax_number": "253-759-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 S 15TH ST",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051952",
            "telephone_number": "253-756-0933",
            "fax_number": "253-759-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISTIC PLASTIC SURGERY CENTER PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSTAR SURGICAL SERVICES, PLLC",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-756-0933"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "602804600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artistic Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ana Arteaga, B.A.
• Maria Camila Arteaga
• Arthur J. Ozolin MD Inc PS
• Artistic Plastic Surgery Center
• Artistic Plastic Surgery Center PLLC
• Artistic Plastic Surgery Center PLLC
• Gwendolyn Anne Artman, BS, MS
• Lee Eric Artman, M. D.
• Liliya Artym
• Anne M Asam, M.D.

• Plastic Surgery Physician in Tacoma, WA
• Providers in Tacoma, 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 Jan 30, 2020; 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.