CEDAR MEDICAL SPECIALTIES PLLC NPI 1558486969

NPI Information

  • NPI: 1558486969
  • Provider Name: CEDAR MEDICAL SPECIALTIES, PLLC
  • Classification: Plastic Surgery - 2082S0099X
  • Specialization: Plastic Surgery Within the Head and Neck
  • Entity Type: Organization
  • Doing Business As: AESTHETIC SURGERY CENTER
  • CLIA Number: 50D2019643
  • Address: 34503 9TH AVE S
    SUITE 230
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (253) 627-2900

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NPI Details

CEDAR MEDICAL SPECIALTIES, PLLC is a plastic surgery within the head and neck plastic surgery in Federal Way, WA. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. CEDAR MEDICAL SPECIALTIES, PLLC NPI is 1558486969. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aesthetic Surgery Center.

The provider's business location address is:

34503 9TH AVE S
SUITE 230
FEDERAL WAY, WA
ZIP 98003-727
Phone: (253) 627-2900
Fax: (253) 627-2941

The provider's authorized official is Troy J Woodman .
The authorized official title is Owner and has the following contact phone number (253) 627-2900.

The CLIA number assigned to this NPI record is 50D2019643 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/15/2007.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryNo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckYes

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
1GAB25810MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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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