Organization
SUMMIT PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY FIECHTER (PRACTICE ADMINISTRATOR)
(260) 490-7111
Entity
Organization
Contact information
Practice address
7920 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804-4166
(260) 490-7111
(260) 490-2286
Mailing address
7920 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804-4166
(260) 490-7111
(260) 490-2286
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375290A
—
IN
05
—
2289394
—
OH
Enumeration date
12/16/2005
Last updated
04/18/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us