Cosmetic Surgical Arts Center, Inc.P.S.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

MD00020164 Issued in WA

Legal business name

COSMETIC SURGICAL ARTS CENTER, INC.P.S.

Practice address

19109 36 Ave W #109
Lynnwood, WA 98036-5767

Phone

(425) 744-7771

Fax

(425) 744-7774

NPI assigned

Dec 24, 2007

Last updated

Dec 24, 2007By 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

Mrs. Dee E Mathers

Title

Office Manager

Phone

(425) 744-7771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1851575922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19109 36TH AVE W STE 109",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365767",
            "telephone_number": "425-744-7771",
            "fax_number": "425-744-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19109 36 AVE W #109",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365767",
            "telephone_number": "425-744-7771",
            "fax_number": "425-744-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC SURGICAL ARTS CENTER, INC.P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "MATHERS",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-744-7771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "MD00020164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, 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 Dec 24, 2007; 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.