Northstar Surgical Services, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD00047758 Issued in WA

Legal business name

NORTHSTAR SURGICAL SERVICES, PLLC

Practice address

2150 N 107TH St
Suite 520
Seattle, WA 98133-1305

Phone

(425) 836-3900

Fax

(425) 836-3907

NPI assigned

Oct 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Khashayar Dehghan, M.D.

Title

Member/Owner

Phone

(618) 531-9518

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Artistic Plastic Surgery Center PLLC

  • Plastic Surgery Physician
  • Tacoma, WA
  • NPI 1457412017
  NPPES parent name

Practitioners 1

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

• Sarvesh Smiley Thakur, M.D.

  • Nephrology Physician
  • Seattle, WA
  • NPI 1295761328
  NPD (past)

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1609102706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N 107TH ST",
            "address_2": "SUITE 520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331305",
            "telephone_number": "425-836-3900",
            "fax_number": "425-836-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N 107TH ST",
            "address_2": "SUITE 520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331305",
            "telephone_number": "425-836-3900",
            "fax_number": "425-836-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR SURGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "DEHGHAN",
        "authorized_official_first_name": "KHASHAYAR",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "618-531-9518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "WA",
            "license": "MD00047758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Seattle, WA
• Providers in Seattle, 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 Oct 23, 2009; 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.