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INDIANA PLASTIC SURGERY CENTER, PC
NPI 1174861454
Clinic/Center - Medical Specialty in Fort Wayne, IN

Active since January 22, 2013
10020 DUPONT CIRCLE CT, SUITE 100, FORT WAYNE, IN 46825(260) 489-0099(260) 489-0066 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indiana Plastic Surgery Center, Pc NPPES

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

INDIANA PLASTIC SURGERY CENTER, PC (NPI 1174861454) is a healthcare organization registered as a medical specialty in Fort Wayne, Indiana and active in the NPI registry since January 2013. The organization lists Robert N Severinac, President, as its authorized official.

NPPES Registry Identity

NPI1174861454
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameINDIANA PLASTIC SURGERY CENTER, PC
Location Address10020 DUPONT CIRCLE CT, SUITE 100Fort Wayne, IN 46825-1620
Mailing Address10020 Dupont Circle Ct, Suite 100Fort Wayne, IN 46825-1620 · (260) 489-0099 · Fax (260) 489-0066
Phone(260) 489-0099
Fax(260) 489-0066
Organization SubpartNo
Authorized OfficialRobert N SeverinacPresident · (260) 489-0099
Enumeration DateJanuary 22, 2013
✔ NPI 1174861454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in IN · 01043388A
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
10020 DUPONT CIRCLE CT, Fort Wayne, IN 46825
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Other Identifiers 2

Medicare UPINF82490IN
Medicaid200024970IN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT NICHOLAS SEVERINAC M.D.
Plastic Surgery
10020 DUPONT CIRCLE CT, SUITE 100
FORT WAYNE, IN 46825
Allen County (260) 489-0099
OMNI DENTAL PC
Dentist
10020 DUPONT CIRCLE CT, STE 150
FORT WAYNE, IN 46825
Allen County (260) 203-4920
THOMAS A. KINTANAR MD
Family Medicine
10020 DUPONT CIRCLE CT, SUITE 110
FORT WAYNE, IN 46825
Allen County (260) 489-8563

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 Indiana Plastic Surgery Center, PC's NPI number?

The NPI number for Indiana Plastic Surgery Center, PC is 1174861454. It was assigned to this organization in the NPPES registry on January 22, 2013.

Where is Indiana Plastic Surgery Center, PC located?

Indiana Plastic Surgery Center, PC is located at 10020 Dupont Circle Ct Suite 100, Fort Wayne, IN 46825. The listed phone number is (260) 489-0099.

What is Indiana Plastic Surgery Center, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Indiana Plastic Surgery Center, PC was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.