Cascadian Plastic Surgery PLLC
NPI 1396447876ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Wenatchee, WA
Surgery, Plastic and Reconstructive Surgery in Wenatchee, Washington, registered in NPPES in March 2023. The authorized official on file is Jungwon Genevieve Park, M.D., PH.D., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396447876 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2023 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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