Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Summit Plastic Surgery, PC

Organization Plastic Surgery Physician · NPI 1194701664

Summit Plastic Surgery, PC provides Plastic Surgery Physician services in Fort Wayne, Indiana. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7920 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804-4166
Phone: (260) 490-7111
Fax: (260) 490-2286
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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

Record details

NPI number1194701664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Fiechter — Practice Administrator · (260) 490-7111
NPI enumeratedDecember 16, 2005
Last updated in NPPESApril 18, 2017
Mailing address7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4166

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