Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cincinnati Institue of Plastic Surgery, LLC

Organization Plastic Surgery Physician · NPI 1417283862

Cincinnati Institue of Plastic Surgery, LLC is a Plastic Surgery Physician in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2009.

Licensed in
OH
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10577 Montgomery Rd
Cincinnati, OH 45242-4451
Phone: (513) 793-5772
Fax: (513) 792-5384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 35057586 (OH)

Record details

NPI number1417283862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter McKenna — Owner · (513) 793-5772
NPI enumeratedOctober 20, 2009
Last updated in NPPESOctober 20, 2009
Mailing address10577 Montgomery Rd, Cincinnati, OH 45242-4451

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