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

Western Reserve Plastic Surgery

Organization Plastic Surgery Physician · NPI 1912086240

Western Reserve Plastic Surgery is a Plastic Surgery Physician in Independence, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006

Practice location Address checks out

5005 Rockside Rd #640
Independence, OH 44131-2194
Phone: (216) 328-0800
Fax: (330) 328-1860
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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 35051876P (OH)

Record details

NPI number1912086240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Picha — Ceo · (216) 328-0800
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5005 Rockside Rd, 640, Independence, OH 44131-2194

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