North Star Plastic Surgery LLC
NPI 1417653569ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Fairbanks, AK
Surgery, Plastic and Reconstructive Surgery in Fairbanks, Alaska, registered in NPPES in January 2023. The authorized official on file is Erick G. Martell, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417653569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2023 |
| Last updated in NPPES | Aug 26, 2026 |
| Certified by provider | Aug 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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