The Stella Center for Facial Plastic Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

602302730 Issued in WA

Legal business name

THE STELLA CENTER FOR FACIAL PLASTIC SURGERY

Practice address

509 Olive Way
#1430
Seattle, WA 98101-1720

Phone

(206) 682-3223

Fax

(206) 682-3224

NPI assigned

May 26, 2007

Last updated

Jun 21, 2018By 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

Stella Desyatnikova, MDNPI 1376509174

Title

Owner

Phone

(206) 682-3223

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.

• Stella Desyatnikova, M.D.

  • Facial Plastic Surgery Physician
  • Seattle, WA
  • NPI 1376509174
  NPD (past) Authorized official

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1619188869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "#1430",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-682-3223",
            "fax_number": "206-682-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "#1430",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-682-3223",
            "fax_number": "206-682-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STELLA CENTER FOR FACIAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DESYATNIKOVA",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-682-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "602302730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Refit Komplex LLC
• The RX Guy, PS (SeattleMeds Pharmacy)
• The Self-Inclusive Collective, PLLC
• The Shamrock Group, Inc.
• The Shelterwood Collective
• The Still Point
• The Ten5 Group. LLC
• The Transformation Clinic, PLLC (Aspen Health Collective)
• The Wei Wellness
• The Young Mens Christian Association of Greater Seattle

• Ambulatory Surgical Clinic/Center in Seattle, WA
• Providers in Seattle, 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 Jun 21, 2018; 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.