Justin H. Piasecki, M.D., PLLC

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

MD00049097 Issued in WA

Legal business name

JUSTIN H. PIASECKI, M.D., PLLC

Practice address

11511 Canterwood Blvd NW
Suite 310
Gig Harbor, WA 98332-5813

Phone

(253) 509-4438

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Justin Howard Piasecki, M.D.NPI 1700848355

Title

Member

Phone

(253) 509-4438

Specialties & licenses 1

Addresses

Other names 1

• Harbor Plastic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Harbor Plastic Surgery Center PLLC

  • Ambulatory Surgical Clinic/Center
  • Gig Harbor, WA
  • NPI 1134354533

  Member Of

  NPD member

Practitioners 2

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

• Justin H Piasecki, M.D.

  • MOHS-Micrographic Surgery Physician
  • Gig Harbor, WA
  • NPI 1700848355
  Medicare reassignment Authorized official
• Omer Refik Ozerdem, MD

  • Plastic Surgery Physician
  • Birmingham, AL
  • NPI 1659322592

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1477780922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 CANTERWOOD BLVD STE 310",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983325820",
            "telephone_number": "253-858-5040",
            "fax_number": "253-320-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 CANTERWOOD BLVD NW",
            "address_2": "SUITE 310",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983325813",
            "telephone_number": "253-509-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN H. PIASECKI, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "PIASECKI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-509-4438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "WA",
            "license": "MD00049097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Claire Jourdan
• Jennifer Lee Joy
• Lisa Jump, MS
• Katherine June
• Jill Lyn Jurkowski, LMP
• Paul L Kadzik, DDS
• Erica Kafka, PA-C
• Alicia Ann Kain, DPT
• Kaiser Foundation Health Plan of Washington
• Carla Jane Kanieski

• Oncology Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Oncology Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.