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

Summit Plastic Surgery, PC

Organization Plastic Surgery Physician · NPI 1194701664

Summit Plastic Surgery, PC is a Plastic Surgery Physician 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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