NPIMap

Organization Active NPI

The Aesthetic Surgery Centre, PLLC

  • Ambulatory Surgical Clinic/Center
  • Tacoma, WA
National Provider Identifier
1821379538
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
601963666 Issued in WA
Legal business name
THE AESTHETIC SURGERY CENTRE, PLLC
Practice address
2202 S Cedar St
Suite 150
Tacoma, WA 98405-2318
Phone
(253) 627-2900
Fax
(253) 627-2941
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Dr. David Pratt, MDNPI 1730164963
Title
Doctor
Phone
(253) 627-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 601963666 WA Primary

Addresses

Primary practice location

2202 S Cedar St
Suite 150
Tacoma, WA 98405-2318

Mailing address

2202 S Cedar St
Suite 100
Tacoma, WA 98405-2318
Phone (253) 838-5432

Other names 1

  • Cedar Laser and Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120111000979 WA Part B Supplier - Ambulatory Surgical Center 4688841851 Receives reassigned benefits from 14 practitioners
Practice locations: Tacoma, WA
O20120229000172 WA Part B Supplier - Clinic/Group Practice 4688841851 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Federal Way, WA; Gig Harbor, WA; Lakewood, WA; Tacoma, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Aesthetic Surgery Centre PLLCCCN 50C0001206
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
The Aesthetic Surgery Centre PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

34503 9th Ave S
Ste 230
Federal Way, WA 98003
Phone (253) 838-3103

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1821379538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 S CEDAR ST",
            "address_2": "SUITE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052318",
            "telephone_number": "253-838-5432",
            "fax_number": "253-838-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S CEDAR ST",
            "address_2": "SUITE 150",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052318",
            "telephone_number": "253-627-2900",
            "fax_number": "253-627-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AESTHETIC SURGERY CENTRE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "253-627-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "601963666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Laser and Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.