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PLASTIC SURGERY INSTITUTE OF OHIO LLC NPI 1598198004


NPI Information

NPI: 1598198004
Provider Name: PLASTIC SURGERY INSTITUTE OF OHIO, LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
28601 CHAGRIN BLVD STE 500
WOODMERE, OH
ZIP 44122
Phone: (216) 561-0312
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PLASTIC SURGERY INSTITUTE OF OHIO, LLC is a plastic and reconstructive surgery surgery in Woodmere, OH. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC SURGERY INSTITUTE OF OHIO, LLC NPI is 1598198004. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28601 CHAGRIN BLVD STE 500
WOODMERE, OH
ZIP 44122-562
Phone: (216) 561-0312
Fax: (516) 561-0113

The provider's authorized official is Jared C Storck .
The authorized official title is Owner and has the following contact phone number (216) 561-0133.

The enumeration date for this NPI number is 8/20/2013 and was last updated on 1/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10096001MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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