UNIVERSITY PLASTIC SURGEONS, INC.
NPI 1104005776
Specialist in Novelty, OH

Active since October 30, 2007
13660 BRAEBURN LN, NOVELTY, OH 44072(216) 219-5555 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Plastic Surgeons, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY PLASTIC SURGEONS, INC. (NPI 1104005776) is a healthcare organization registered as a specialist in Novelty, Ohio and active in the NPI registry since October 2007. The organization maintains a secondary practice location in South Euclid and lists Robert T. Stroup, Owner, as its authorized official.

NPPES Registry Identity

NPI1104005776
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUNIVERSITY PLASTIC SURGEONS, INC.
Location Address13660 BRAEBURN LNNovelty, OH 44072-9597
Mailing Address13660 Braeburn LnNovelty, OH 44072-9597 · (216) 219-5555
Organization SubpartNo
Authorized OfficialRobert T. StroupOwner · (216) 219-5555
Enumeration DateOctober 30, 2007
Last NPPES UpdateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
NPI 1104005776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OH · 35 059617
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
13660 BRAEBURN LN, Novelty, OH 44072

Secondary Practice Location 1

Location 11611 S Green Rd, #238South Euclid, OH 44121-4128 · Phone (216) 691-4000 · Fax (216) 691-4004

Other Identifiers 2

Medicaid0879081OH
Medicaid0801412OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Plastic Surgeons, Inc.'s NPI number?

The NPI number for University Plastic Surgeons, Inc. is 1104005776. It was assigned to this organization in the NPPES registry on October 30, 2007.

Where is University Plastic Surgeons, Inc. located?

University Plastic Surgeons, Inc. is located at 13660 Braeburn Ln, Novelty, OH 44072. The listed phone number is (216) 219-5555.

What is University Plastic Surgeons, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for University Plastic Surgeons, Inc. was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.