Organization Active NPI

Arrowhead Plastic Surgeons Inc

  • Specialist
  • Perrysburg, OH
National Provider Identifier
1962576454
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARROWHEAD PLASTIC SURGEONS INC
Practice address
12621 Eckel Junction Rd Ste 2400
Perrysburg, OH 43551-1304
Phone
(419) 887-7000
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Dr. Laurence M Baibak, M.D.NPI 1255303590
Title
Surgeon
Phone
(419) 887-7000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

12621 Eckel Junction Rd Ste 2400
Perrysburg, OH 43551-1304

Mailing address

12621 Eckel Junction Rd Ste 2400
Perrysburg, OH 43551-1304
Phone (419) 887-7000

Other identifiers 1

IdentifierTypeStateIssuer
L2302752MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429000632 OH Part B Supplier - Clinic/Group Practice 7113053687 Receives reassigned benefits from 7 practitioners
Practice locations: Perrysburg, OH

National Provider Directory

National Provider Directory

Locations

12621 Eckel Junction Rd
Perrysburg, OH 43551
Phone (419) 794-4760

12621 Eckel Junction Rd
Ste 2400
Perrysburg, OH 43551
Phone (419) 887-4525

12621 Eckel Junction Rd
#2400
Perrysburg, OH 43551

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1962576454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 ECKEL JUNCTION RD STE 2400",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-887-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12621 ECKEL JUNCTION RD STE 2400",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-887-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD PLASTIC SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "BAIBAK",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "419-887-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L2302752",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.