OrganizationActive
Pacific Northwest Plastic Surgery, Ps
NPI 1205951910 · Specialist · University Place, WA
Pacific Northwest Plastic Surgery, Ps is a Specialist organization in University Place, WA (NPI 1205951910).
Provider details
- NPI number
- 1205951910
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ross Realica, President(253) 761-9515
- License
- 37332 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5016 Bridgeport Way W
Suite a
University Place, WA 98467-2039
Phone: (253) 761-9515
Fax: (253) 761-1306
Street-level locationGet directions
Mailing address
5016 Bridgeport Way W
University Place, WA 98467-2039
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2012-01-18
Frequently asked questions
- What is Pacific Northwest Plastic Surgery, Ps's NPI number?
- Pacific Northwest Plastic Surgery, Ps's National Provider Identifier (NPI) is 1205951910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Northwest Plastic Surgery, Ps?
- Pacific Northwest Plastic Surgery, Ps is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Pacific Northwest Plastic Surgery, Ps located?
- Pacific Northwest Plastic Surgery, Ps's practice location on file with NPPES is 5016 Bridgeport Way W, University Place, WA 98467-2039.
- What is Pacific Northwest Plastic Surgery, Ps's phone number?
- The practice phone number listed in the NPPES registry for Pacific Northwest Plastic Surgery, Ps is (253) 761-9515.
- Who is the authorized official for Pacific Northwest Plastic Surgery, Ps?
- The authorized official listed on Pacific Northwest Plastic Surgery, Ps's NPPES record is Ross Realica, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Northwest Plastic Surgery, Ps's NPI active?
- Yes — Pacific Northwest Plastic Surgery, Ps's NPI (1205951910) is active in the NPPES registry as of the last update on 2012-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.