AESTHETICA CLINIQUE LLC – NPI #1508824293
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

AESTHETICA CLINIQUE LLC is a plastic surgeon located in TACOMA, WA. NPPES has assigned the NPI number 1508824293 to AESTHETICA CLINIQUE LLC on May 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 14 years ago on Sep 11, 2012. 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 AESTHETICA CLINIQUE LLC below.

NPI Profile for
AESTHETICA CLINIQUE LLC

NPI Number
1508824293
Enumeration Date

(more than 20 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
AESTHETICA CLINIQUE LLC
Primary location
801 PACIFIC AVE
TACOMA, WA 98402-5209
Phone: (229) 589-2588 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LOUIS POTYONDY
MANAGING MEMBER
Phone: (229) 589-2588
Updated
Identifiers

Identifiers for AESTHETICA CLINIQUE LLC

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
OTHERDOCTORS'S NPIGA1104884956
MEDICAIDGA569370029A
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
208200000X
- Plastic Surgery (Primary)
WA MD 60288108

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.