Salmon Creek Plastic Surgery PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

SALMON CREEK PLASTIC SURGERY PC

Practice address

13712 NE 10TH Ave
Vancouver, WA 98685-2628

Phone

(360) 823-0860

Fax

(360) 828-1407

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Richard Kenneth Green Jr., M.D.NPI 1215935218

Title

Physician and Owner

Phone

(360) 574-7622

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

  Medicare reassignment Care Compare group NPD Authorized official
• Ersilia Anghel, MD

  • Plastic Surgery Physician
  • Vancouver, WA
  • NPI 1619409968
  Medicare reassignment Care Compare group NPD
• Jane Namkung, MD

  • Plastic and Reconstructive Surgery Physician
  • Vancouver, WA
  • NPI 1124218722
  Medicare reassignment Care Compare group NPD
• Katherine Accardo Impastato, MD

  • Plastic and Reconstructive Surgery Physician
  • Vancouver, WA
  • NPI 1376962316

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1831253426",
    "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": "986852628",
            "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": "986852628",
            "telephone_number": "360-823-0860",
            "fax_number": "360-828-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMON CREEK PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "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": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "360-574-7622",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salmon Creek Family Practice PC (Salmon Creek Family Practice dba Urgent Care At Salmon Creek)
• 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 Post Acute & Rehabilitation)
• Salmon Creek Vision Centre, PLLC
• Peggy L Salois, RC
• Barbara A Salomon, CDPT
• Sarah Salomone

• Plastic Surgery Physician in Vancouver, WA
• Providers in Vancouver, 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 Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.