IYENGAR PLASTIC SURGERY PLLC
NPI 1104668508
Surgery - Plastic and Reconstructive Surgery in Puyallup, WA

NPI Status: Active since June 07, 2024

Contact Information

4210 10TH ST SE
PUYALLUP, WA
ZIP 98374
Phone: (253) 840-5397

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  • Organization
  • Surgery
  • Plastic and Reconstructive Surgery

About IYENGAR PLASTIC SURGERY PLLC

This page provides the complete NPI Profile along with additional information for Iyengar Plastic Surgery Pllc, a provider established in Puyallup, Washington operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1104668508 assigned on June 2024. The practitioner's primary taxonomy code is 2086S0122X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Vidya Iyengar (Ceo)

NPI
1104668508
Provider Name
IYENGAR PLASTIC SURGERY PLLC
Entity Type
Organization
Location Address
4210 10TH ST SE PUYALLUP, WA 98374
Location Phone
(253) 840-5397
Mailing Address
PO BOX 731689 PUYALLUP, WA 98373
Mailing Phone
(253) 840-5397
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2024
Last Update Date
06-07-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VIDYA IYENGAR

Authorized Official Title
CEO
Authorized Official Phone
(253) 840-5397

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104668508
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041261650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 2 + 6 + 1 + 6 + 5 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1104668508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386171361 RAJIV JAISIMHA IYENGAR MD
Individual
Surgery (Plastic and Reconstructive Surgery)4210 10TH ST SE
PUYALLUP, WA 98374
(253) 840-5397

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104668508, enumerated in the NPI registry as an "organization" on June 07, 2024

The provider is located at 4210 10th St Se Puyallup, Wa 98374 and the phone number is (253) 840-5397

This medical organization specializes in Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery

This NPI record was last updated on June 07, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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