Salmon Creek Plastic Surgery PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

602673506 Issued in WA

Legal business name

SALMON CREEK PLASTIC SURGERY PC

Practice address

13712 NE 10TH Ave
Vancouver, WA 98685

Phone

(360) 823-0860

Fax

(360) 828-1407

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard K Green, M.D.NPI 1215935218

Title

Business Owner / Plastic Surgeon

Phone

(360) 823-0860

Specialties & licenses 2

Addresses

Other names 1

• Salmon Creek Plastic Surgery PC/ASC Facility Other name

Listed as

Salmon Creek Plastic SurgeryCCN 50C0001275

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 4

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

• Richard K. Green Jr., M.D.

  • Surgery of the Hand (Surgery) Physician
  • Vancouver, WA
  • NPI 1215935218

  Plastic and Reconstructive Surgery

  NPD Authorized official
• Ersilia Anghel, MD

  • Plastic Surgery Physician
  • Vancouver, WA
  • NPI 1619409968
  NPD
• Katherine Accardo Impastato, MD

  • Plastic and Reconstructive Surgery Physician
  • Vancouver, WA
  • NPI 1376962316
  NPD
• Jane Namkung, MD

  • Plastic and Reconstructive Surgery Physician
  • Vancouver, WA
  • NPI 1124218722
  NPD

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1588802466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13712 NE 10TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98685",
            "telephone_number": "360-823-0860",
            "fax_number": "360-828-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13712 NE 10TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98685",
            "telephone_number": "360-823-0860",
            "fax_number": "360-828-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMON CREEK PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS OWNER / PLASTIC SURGEON",
        "authorized_official_telephone_number": "360-823-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "602673506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salmon Creek Plastic Surgery PC/ASC Facility",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Salmon Creek Plastic Surgery PC/ASC Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Salmon Creek Family Practice
• Salmon Creek Family Practice PC
• Salmon Creek Oral & Maxillofacial Surgery,LLC
• Salmon Creek Oral Surgery & Periodontics
• Salmon Creek Physical Therapy P S
• Salmon Creek Plastic Surgery PC
• Salmon Creek SNF Operations LLC
• Salmon Creek Vision Centre, PLLC
• Peggy L Salois, RC
• Barbara A Salomon, CDPT

• Ambulatory Surgical Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.