SUMMIT PLASTIC SURGERY, PC
NPI 1194701664
Plastic Surgery in Fort Wayne, IN

Q: What is Summit Plastic Surgery, PC's NPI number?

The NPI number for Summit Plastic Surgery, PC is 1194701664. It was assigned to this organization in the NPPES registry on December 16, 2005.

Q: What is Summit Plastic Surgery, PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since December 16, 2005

7920 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804(260) 490-7111(260) 490-2286 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2017, Jun 20, 2016 (2 updates tracked since 2016).

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About Summit Plastic Surgery, Pc NPPES

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

SUMMIT PLASTIC SURGERY, PC (NPI 1194701664) is a healthcare organization registered as a plastic surgery in Fort Wayne, Indiana and active in the NPI registry since December 2005. The organization lists Kathy Fiechter, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1194701664

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameSUMMIT PLASTIC SURGERY, PC

Location Address7920 W JEFFERSON BLVD STE 200Fort Wayne, IN 46804-4166

Mailing Address7920 W Jefferson Blvd Ste 200Fort Wayne, IN 46804-4166 · (260) 490-7111 · Fax (260) 490-2286

Phone(260) 490-7111

Fax(260) 490-2286

Organization SubpartNo

Authorized OfficialKathy FiechterPractice Administrator · (260) 490-7111

Enumeration DateDecember 16, 2005

Last NPPES UpdateApril 18, 20172 updates tracked since enumeration

✔ NPI 1194701664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

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.

7920 W JEFFERSON BLVD STE 200, Fort Wayne, IN 46804

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Other Identifiers 4

Medicaid200375290AIN

Medicaid2289394OH

Medicare PIN186080IN

Medicare PINCJ5349IN

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

Other Providers at the Same Location NPPES 5

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

REID ROBERT PFLUEGER DO

Plastic Surgery