Organization Active NPI

RMD Medical Aesthetics Clinic, PLLC

  • Procedural Dermatology Physician
  • Burlington, WA
National Provider Identifier
1558047035
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
RMD MEDICAL AESTHETICS CLINIC, PLLC
Practice address
325 E. George Hopper Rd.
Suite 101
Burlington, WA 98233-3154
Phone
(360) 982-2620
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Tianna Tsitsis Eitner, MD
Title
Chief Medical Officer
Phone
(360) 982-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

325 E. George Hopper Rd.
Suite 101
Burlington, WA 98233-3154

Mailing address

325 E. George Hopper Rd.
Suite 101
Burlington, WA 98233-3154
Phone (360) 982-2620

Other names 1

  • RejuvenationMD Doing business as

National Provider Directory

National Provider Directory

Locations

325 E George Hopper Rd
Ste 101
Burlington, WA 98233
Phone (360) 855-7800

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1558047035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E. GEORGE HOPPER RD.",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333154",
            "telephone_number": "360-982-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E. GEORGE HOPPER RD.",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333154",
            "telephone_number": "360-982-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMD MEDICAL AESTHETICS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "EITNER",
        "authorized_official_first_name": "TIANNA",
        "authorized_official_middle_name": "TSITSIS",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "360-982-2620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RejuvenationMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.