MP PLASTIC SURGERY PLLC
NPI 1275922734
Plastic Surgery in Fort Worth, TX

Q: What is Mp Plastic Surgery PLLC's NPI number?

The NPI number for Mp Plastic Surgery PLLC is 1275922734. It was assigned to this organization in the NPPES registry on January 21, 2015.

Q: What is Mp Plastic Surgery PLLC's specialty?

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

Active since January 21, 2015

800 8TH AVE STE 206, FORT WORTH, TX 76104(817) 529-9199(817) 334-0491 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Mar 8, 2021, Nov 13, 2018 (3 updates tracked since 2018).

On this page

About Mp Plastic Surgery Pllc NPPES

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

MP PLASTIC SURGERY PLLC (NPI 1275922734) is a healthcare organization registered as a plastic surgery in Fort Worth, Texas and active in the NPI registry since January 2015. The organization lists Maxim Pekarev, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1275922734

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameMP PLASTIC SURGERY PLLC

Location Address800 8TH AVE STE 206Fort Worth, TX 76104-2619

Mailing Address800 8th Ave Ste 206Fort Worth, TX 76104-2619 · (817) 529-9199 · Fax (817) 334-0491

Phone(817) 529-9199

Fax(817) 334-0491

Organization SubpartNo

Authorized OfficialMaxim PekarevPhysician/owner · (817) 529-9199

Enumeration DateJanuary 21, 2015

Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration

NPPES CertifiedAugust 28, 2021

✔ NPI 1275922734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in TX · P5223

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.

800 8TH AVE STE 206, Fort Worth, TX 76104

Open in Google Maps ↗

Other Identifiers 1

Medicaid328016601TX

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 9

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

CHRISTINE TAHAN

Physician Assistant (Surgical)