PLASTIC SURGERY CENTER OF PA
NPI 1609987759
Plastic Surgery in Erie, PA
NPI Status: Active since August 31, 2006
Contact Information
410 CRANBERRY ST
SUITE 310
ERIE, PA
ZIP 16507
Phone: (814) 480-8220
Fax: (814) 480-8225
- Organization
- Plastic Surgery
- CLIA Number: 39D2191520
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-27-2026
About PLASTIC SURGERY CENTER OF PA
This page provides the complete NPI Profile along with additional information for Plastic Surgery Center Of Pa, a provider established in Erie, Pennsylvania operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1609987759 assigned on August 2006. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Gunner Eo Bergqvist M.d. (President)
- NPI
- 1609987759
- Provider Name
- PLASTIC SURGERY CENTER OF PA
- Entity Type
- Organization
- Location Address
- 410 CRANBERRY ST SUITE 310 ERIE, PA 16507
- Location Phone
- (814) 480-8220
- Location Fax
- (814) 480-8225
- Mailing Address
- 5040 W RIDGE RD STE 200 ERIE, PA 16506
- Mailing Phone
- (814) 480-8220
- Mailing Fax
- (814) 480-8225
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 04-08-2026
- Code Navigator
Location Map
Secondary Locations
- 5040 W Ridge Rd Ste 200
Erie, PA 16506
(814) 480-8220
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2191520
- Facility Type
- Physician Office
- Certificate Effective Date
- August 28, 2024
- Certificate Expiration Date
- August 27, 2026
- Laboratory Director
- DR. GUNNAR BERGQVIST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Plastic Surgery Center Of Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PLASTIC SURGERY CENTER OF PA
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1609987759, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
ERIE, PA 16507
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609987759, enumerated as an "organization" on August 31, 2006.
The provider is located at 410 CRANBERRY ST SUITE 310 ERIE, PA 16507 and the phone number is (814) 480-8220.
Plastic Surgery with taxonomy code 208200000X.
