DR. LOUIS DAVID POTYONDY M.D. NPI 1104884956

NPI Information

  • NPI: 1104884956
  • Provider Name: DR. LOUIS DAVID POTYONDY, M.D.
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • Address: 801 PACIFIC AVE
    TACOMA, WA
    ZIP 98402
  • Phone: (229) 589-2588

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NPI Details

DR. Louis David Potyondy, M.D. is a plastic surgery in Tacoma, WA. The provider is 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. DR. Louis David Potyondy, M.D. NPI is 1104884956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 PACIFIC AVE
TACOMA, WA
ZIP 98402-209
Phone: (229) 589-2588

The enumeration date for this NPI number is 5/2/2006 and was last updated on 9/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic Surgery057743GEORGIANo
2208200000XPlastic SurgeryMD 60288108WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP7714MEDICARE PINGEORGIA
2814916866AMEDICAIDGEORGIA
31508824293OTHERGEORGIAMEDICARE PRACTICE NPI
4001281100MEDICAIDFLORIDA
5CL406AMEDICARE PINFLORIDA
6CL413ZMEDICARE UPINFLORIDA
7I52841MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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