NPIMap

Organization Active NPI

Plastic Surgery Partners of Fresno

  • Plastic Surgery Physician
  • Fresno, CA
National Provider Identifier
1235650391
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PLASTIC SURGERY PARTNERS OF FRESNO
Practice address
215 N Fresno St, Ste 490
Fresno, CA 93701
Phone
(559) 459-4101
Fax
(559) 459-5744
NPI assigned
Jun 29, 2017
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Erich Stefan Lemker, MDNPI 1568622355
Title
President
Phone
(559) 459-4101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X G24836 CA
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A95116 CA
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X A95116 CA

Addresses

Primary practice location

215 N Fresno St, Ste 490
Fresno, CA 93701

Mailing address

215 N Fresno St, Ste 490
Fresno, CA 93701
Phone (559) 459-4101

Other names 1

  • Plastic Surgery Partners of Fresno, Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180102002261 CA Part B Supplier - Clinic/Group Practice 2062770670 Receives reassigned benefits from 9 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

215 N Fresno St
Ste 490
Fresno, CA 93701
Phone (559) 459-4101

290 N Wayte Ln
#2400
Fresno, CA 93701
Phone (559) 459-4101

290 N Wayte Ln
Ste 2400
Fresno, CA 93701
Phone (559) 459-6114

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1235650391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N FRESNO ST, STE 490",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93701",
            "telephone_number": "559-459-4101",
            "fax_number": "559-459-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N FRESNO ST, STE 490",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93701",
            "telephone_number": "559-459-4101",
            "fax_number": "559-459-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY PARTNERS OF FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "LEMKER",
        "authorized_official_first_name": "ERICH",
        "authorized_official_middle_name": "STEFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-459-4101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G24836",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A95116",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A95116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Partners of Fresno, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.