Aesthetic Medicine Consulting PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

AESTHETIC MEDICINE CONSULTING PC

Practice address

2510 E Dupont Rd Ste 236
Fort Wayne, IN 46825-1603

Phone

(260) 490-7111

Fax

(260) 490-2286

NPI assigned

May 18, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Louis Corey II, MDNPI 1043620412

Title

President

Phone

(260) 490-7111

Specialties & licenses 1

Addresses

Other names 1

• Summit Plastic Surgery, PC Doing business as

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

• Samuel Louis Corey II, MD

  • Plastic Surgery Physician
  • Fort Wayne, IN
  • NPI 1043620412

  Plastic Surgery

  NPD Authorized official

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1932038544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD STE 236",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251603",
            "telephone_number": "260-490-7111",
            "fax_number": "260-490-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD STE 236",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251603",
            "telephone_number": "260-490-7111",
            "fax_number": "260-490-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC MEDICINE CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-490-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Plastic Surgery, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Fort Wayne, IN
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.