North Metro Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

P5223 Issued in TX

Legal business name

NORTH METRO PLASTIC SURGERY PLLC

Practice address

800 8TH Ave Ste 206
Fort Worth, TX 76104-2619

Phone

(817) 529-9199

Fax

(817) 334-0491

NPI assigned

Sep 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maxim Pekarev, MDNPI 1851618649

Title

President

Phone

(817) 529-9199

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maxim Pekarev, MD

  • Plastic and Reconstructive Surgery Physician
  • Fort Worth, TX
  • NPI 1851618649
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1194193052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042619",
            "telephone_number": "817-529-9199",
            "fax_number": "817-334-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042619",
            "telephone_number": "817-529-9199",
            "fax_number": "817-334-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH METRO PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "PEKAREV",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-529-9199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "P5223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Central Texas Infectious Disease Group PA
• Ame North Farmer, L.M.
• North Fort Worth Caregiving LLC (Cornerstone Caregiving)
• North Fort Worth Counseling, PLLC
• North Houston Lower Extremity Iom
• North Richland Hills Endoscopy Center LLC (Digestive Health Center of Alliance)
• North Star KL, LP
• North Star MCD, LLC (North Star Diagnostic Imaging)
• North Tarrant Health Providers PLLC
• North Texas - Mca LLC

• Plastic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.