SKIN SURGERY CENTER – NPI #1689755894
Clinic/Center

SKIN SURGERY CENTER is an AHC clinic located in BELLEVUE, WA. NPPES has assigned the NPI number 1689755894 to SKIN SURGERY CENTER on October 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SKIN SURGERY CENTER” is a dba name, the actual legal business name for this organization is SKIN SURGERY CENTER PS. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 18 years ago on Apr 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SKIN SURGERY CENTER below.

NPI Profile for
SKIN SURGERY CENTER PS

NPI Number
1689755894
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SKIN SURGERY CENTER PS
Doing Business As (dba): SKIN SURGERY CENTER
Primary location
1551 116TH AVE NE
BELLEVUE, WA 98004-3814
Phone: (425) 453-8647 Fax: (425) 455-5727
Mailing address
1229 MADISON ST
SUITE 1480
SEATTLE, WA 98104-3586
Phone: (206) 346-6647 Fax: (206) 346-6022
Organization Subpart
No
Authorized Official
PETER ODLAND
PRESIDENT
Phone: (206) 346-6647
Updated
Identifiers

Identifiers for SKIN SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC BS8080SK
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.