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

North Star Plastic Surgery LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1417653569

North Star Plastic Surgery LLC is a Plastic and Reconstructive Surgery Physician in Fairbanks, Alaska. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1919 Lathrop St Ste 205
Fairbanks, AK 99701-5942
Phone: (907) 416-5611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1417653569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erick Martell — Owner · (305) 761-1934
NPI enumeratedJanuary 31, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address1919 Lathrop St, Fairbanks, AK 99701-5937