Artistic Plastic Surgery Center PLLC
NPI 1457412017ActiveOrganization· Plastic Surgery· Tacoma, WA
Plastic Surgery in Tacoma, Washington, registered in NPPES in December 2006, part of Northstar Surgical Services, PLLC. The authorized official on file is Kelly Lane, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457412017 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Northstar Surgical Services, PLLC |
| NPI issued | Dec 13, 2006 |
| Last updated in NPPES | Jan 30, 2020 |
| Certified by provider | Jan 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 602804600 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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