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Summit Plastic Surgery, PC

NPI 1194701664ActiveOrganization· Plastic Surgery· Fort Wayne, IN

Plastic Surgery in Fort Wayne, Indiana, registered in NPPES in December 2005. The authorized official on file is Kathy Fiechter, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1194701664
StatusActive
Entity typeOrganization
NPI issuedDec 16, 2005
Last updated in NPPESApr 18, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Plastic Surgery Primary208200000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IN)

Medicare sources and data years

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