Summit Plastic Surgery, Pc

LBN: Summit Plastic Surgery, Pc
Summit Plastic Surgery, Pc is an health care organization with primary practice located at 7920 W Jefferson Blvd Ste 200 , Fort Wayne IN 46804-4166. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Summit Plastic Surgery, Pc can be contacted via phone (260) 490-7111, or through Fiechter, Kathy via phone (260) 490-7111.

Contact Information

Primary practice address
7920 W Jefferson Blvd Ste 200 Fort Wayne IN 46804-4166
Phone: (260) 490-7111
Fax: (260) 490-2286
Website:
Map and Directions
Authorized official contact:
Name: Fiechter, Kathy
Phone: (260) 490-7111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1194701664
LBN Legal business name Summit Plastic Surgery, Pc
DBA Doing business as
Authorized official Fiechter, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2005
Last updated Apr 18th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194701664 NPPES
Ohio MEDICAID 2289394
Ohio MEDICAID 200375290A

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