HARBOR PLASTIC SURGERY CENTER PLLC NPI 1134354533

NPI Information

  • NPI: 1134354533
  • Provider Name: HARBOR PLASTIC SURGERY CENTER PLLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 50D1084720
  • Address: 11511 CANTERWOOD BLVD NW
    SUITE 310
    GIG HARBOR, WA
    ZIP 98332
  • Phone: (253) 858-5040

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NPI Details

HARBOR PLASTIC SURGERY CENTER PLLC is an ambulatory surgical clinic center in Gig Harbor, WA. HARBOR PLASTIC SURGERY CENTER PLLC NPI is 1134354533. The provider is registered as an organization entity type.

The provider's business location address is:

11511 CANTERWOOD BLVD NW
SUITE 310
GIG HARBOR, WA
ZIP 98332-813
Phone: (253) 858-5040
Fax: (888) 843-2412

The provider's authorized official is Justin Howard Piasecki .
The authorized official title is Member and has the following contact phone number (253) 509-4438.

The CLIA number assigned to this NPI record is 50D1084720 - other with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Creation of skin and tissue graft (HCPCS:15740)
  • Obtaining ear cartilage for grafting (HCPCS:21235)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Creation of flap graft to eyelids, nose, ears, lips, or mouth (HCPCS:15576)
  • Suture repair of turning-outward upper or lower eyelid defect (HCPCS:67914)
  • Transfer of skin flap to eyelids, nose, ears, or lips (HCPCS:15630)
  • Graft of nose cartilage (HCPCS:20912)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less (HCPCS:15220)
  • Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less (HCPCS:15240)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Creation of muscle graft to leg (HCPCS:15738)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
  • Creation of flap graft to midface (HCPCS:15730)
  • Creation of flap graft to nose, forehead, temple, or scalp (HCPCS:15731)

The enumeration date for this NPI number is 5/28/2009 and was last updated on 11/29/2011.

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
1261QA1903XClinic/CenterAmbulatory SurgicalMD00049097WASHINGTONYes

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: 3/30/2025

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