PLASTIC SURGERY INNOVATIONS, P.C. (NPI# 1275624686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275624686 |
Entity Type | Organization |
Organization Name | PLASTIC SURGERY INNOVATIONS, P.C. |
Practice Address |
10215 Auburn Park Dr Suite B Fort Wayne IN 46825-2387 |
Practice Telephone | 2604904673 |
Practice Fax Number | 2604902165 |
Mailing Telephone | 2604904673 |
Mailing Fax Number | 2604902165 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2008-02-06 |
Authorized Official Name | DR. JOSEPH M. MLAKAR (PRESIDENT/OWNER/PHYSICIAN) |
Authorized Official Telephone | 2604904673 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2723806 | 05 |
Street Address |
10215 AUBURN PARK DR SUITE B |
City | FORT WAYNE |
State | IN |
Zip Code | 46825-2387 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184625527 | Darlene K Hoover | Physician Assistant | 10215 Auburn Park Dr, Suite B, Fort Wayne, IN 46825-2387 | 2005-08-09 |
1558815605 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2016-08-06 |
1689089674 | Syed Murtaza Hasan | Emergency Medicine | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2014-06-27 |
1073878765 | Mary Jo Gura | Registered Nurse | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2012-07-09 |
1376502971 | Christine M Herman | Physician Assistant | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2006-03-22 |
1568444701 | Joan Luther | Counselor | 10215 Auburn Park Dr, Suite 2, Fort Wayne, IN 46825-2387 | 2005-11-15 |
1720060007 | Lisa Ramos | Dietitian, Registered | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2005-11-14 |
1912989229 | Family Counseling Services, P.C. | Counselor | 10215 Auburn Park Dr, Suite 2, Fort Wayne, IN 46825-2387 | 2005-11-14 |
1366424616 | Kathryn Barrye Einhaus, M.d., P.C. | Obstetrics & Gynecology | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2005-11-14 |
1871575126 | Kathryn B. Einhaus | Obstetrics & Gynecology | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2005-11-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
Find all providers in zip 46825 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730277583 | Fort Wayne Dermatology Cons. Inc. | Plastic Surgery | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 | 2006-10-10 |
1508867656 | Brian J Lee | Plastic Surgery | 7910 W Jefferson Blvd Ste 212, Fort Wayne, IN 46804-4159 | 2005-08-10 |
1700888617 | Matthew E Shambaugh | Plastic Surgery | 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4166 | 2005-08-10 |
1124029079 | Guy Gerald Crevecoeur | Plastic Surgery | 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845-1715 | 2005-08-02 |
1881968279 | Aspire Plastic Surgery LLC | Plastic Surgery | 7910 W Jefferson Blvd Ste 212, Fort Wayne, IN 46804-4159 | 2012-03-02 |
1013201995 | Reid Robert Pflueger | Plastic Surgery | 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804 | 2011-06-08 |
1477622934 | Michael Robert Davis | Plastic Surgery | 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 | 2006-11-07 |
1033120969 | Robert Nicholas Severinac | Plastic Surgery | 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825-1620 | 2006-08-09 |
1407888589 | James R. Miller | Plastic Surgery | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2006-07-07 |
1194701664 | Summit Plastic Surgery, PC | Plastic Surgery | 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4166 | 2005-12-16 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46825 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.