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NORTH STAR PLASTIC SURGERY LLC
NPI 1417653569
Surgery - Plastic and Reconstructive Surgery in Fairbanks, AK

Active since January 31, 2023
1919 LATHROP ST STE 205, FAIRBANKS, AK 99701(907) 416-5611 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Star Plastic Surgery Llc NPPES

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

NORTH STAR PLASTIC SURGERY LLC (NPI 1417653569) is a healthcare organization registered as a plastic and reconstructive surgery in Fairbanks, Alaska and active in the NPI registry since January 2023. The organization lists Erick Martell, Owner, as its authorized official.

NPPES Registry Identity

NPI1417653569
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameNORTH STAR PLASTIC SURGERY LLC
Location Address1919 LATHROP ST STE 205Fairbanks, AK 99701-5942
Mailing Address1919 Lathrop StFairbanks, AK 99701-5937 · (907) 459-3586 · Fax (907) 374-7770
Phone(907) 416-5611
Organization SubpartNo
Authorized OfficialErick MartellOwner · (305) 761-1934
Enumeration DateJanuary 31, 2023
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1417653569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1919 LATHROP ST STE 205, Fairbanks, AK 99701
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Other Identifiers 1

Medicaid1720992AK

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JENNIFER A LUCEY PA-C
Physician Assistant (Surgical)
1919 LATHROP ST STE 205
FAIRBANKS, AK 99701
Fairbanks North Star Borough (608) 799-4335

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 North Star Plastic Surgery LLC's NPI number?

The NPI number for North Star Plastic Surgery LLC is 1417653569. It was assigned to this organization in the NPPES registry on January 31, 2023.

Where is North Star Plastic Surgery LLC located?

North Star Plastic Surgery LLC is located at 1919 Lathrop St Ste 205, Fairbanks, AK 99701. The listed phone number is (907) 416-5611.

What is North Star Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for North Star Plastic Surgery LLC was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.