OMNI FACIAL PLASTIC SURGERY – NPI #1003453515
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

OMNI FACIAL PLASTIC SURGERY is a plastic surgeon located in WAYZATA, MN. NPPES has assigned the NPI number 1003453515 to OMNI FACIAL PLASTIC SURGERY on December 03, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OMNI FACIAL PLASTIC SURGERY below.

NPI Profile for
OMNI FACIAL PLASTIC SURGERY

NPI Number
1003453515
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OMNI FACIAL PLASTIC SURGERY
Primary location
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391-2513
Phone: (320) 559-4500 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRYAN ROLFES
PHYSICIAN
Phone: (320) 774-2411
Updated
Identifiers

Identifiers for OMNI FACIAL PLASTIC SURGERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLAMN2018
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
[email protected]
Content Type
OTHER
Affiliation
N
Endpoint Location
935 WAYZATA BLVD E STE 200,
WAYZATA, MN 77025-1669