Puget Sound Plastic Surgical Group, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

60123704 Issued in WA

Legal business name

PUGET SOUND PLASTIC SURGICAL GROUP, PLLC

Practice address

12301 NE 10TH PL Ste 101
Bellevue, WA 98005-2487

Phone

(425) 420-2663

Fax

(425) 409-6262

NPI assigned

Nov 9, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Charles McIntosh, M.D.NPI 1982862165

Title

Owner

Phone

(425) 420-2663

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Charles McIntosh, M.D.

  • Plastic Surgery Physician
  • Bellevue, WA
  • NPI 1982862165
  Authorized official Same address or phone

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588965438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980830723",
            "telephone_number": "425-420-2663",
            "fax_number": "425-409-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-420-2663",
            "fax_number": "425-409-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND PLASTIC SURGICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-420-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "60123704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PT Pro Inc. (PT Pro)
• Laura Marie Pucher, MA, LMHC
• Puget Sound Anesthesia Service, PLLC
• Puget Sound Physicians PLLC
• Puget Sound Plastic Surgical Group, PLLC (Dr. Bryan McIntosh)
• Puget Sound Specialty Physicians PLLC (Factoria Foot & Ankle Clinic)
• Alan Pugh
• Lisa Alexius Pujol Boe, MD
• Puneetllc (Bannerwood Cosmetic and Family Dentistry)
• Shae Nicole Purdue

• Plastic Surgery Physician in Bellevue, WA
• Providers in Bellevue, 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 Jul 21, 2022; 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.