Plastic Surgery Innovations, P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PLASTIC SURGERY INNOVATIONS, P.C.

Practice address

9933 Dupont Circle Dr W Ste 120
Fort Wayne, IN 46825-1629

Phone

(260) 490-4673

Fax

(260) 490-2165

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph M. Mlakar, M.D.NPI 1801897244

Title

President/Owner/Physician

Phone

(260) 490-4673

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph M Mlakar, MD

  • Plastic Surgery Physician
  • Fort Wayne, IN
  • NPI 1801897244
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1275624686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 DUPONT CIRCLE DR W STE 120",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251629",
            "telephone_number": "260-490-4673",
            "fax_number": "260-490-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 DUPONT CIRCLE DR W STE 120",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251629",
            "telephone_number": "260-490-4673",
            "fax_number": "260-490-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY INNOVATIONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "MLAKAR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "260-490-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2723806",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Pjanic', RBT
• Andrea Place, FNP-C
• Lee W. Plamann, DPT
• Planned Parenthood of Indiana Fort Wayne
• Robert L Plant, RPH, PHARMD
• Julie S Platt, M.D.
• Konner Platt, PT, DPT
• Savannah E. Platt, NP
• Deandra Pleasant
• Viktoriya Y. Pleshkan, NP

• Plastic Surgery Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.