AESTHETIC AND PLASTIC SURGERY, PA – NPI #1871704338
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

AESTHETIC AND PLASTIC SURGERY, PA is a surgeon located in MAPLE GROVE, MN. NPPES has assigned the NPI number 1871704338 to AESTHETIC AND PLASTIC SURGERY, PA on May 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was last updated on Feb 26, 2026. 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 AESTHETIC AND PLASTIC SURGERY, PA below.

NPI Profile for
AESTHETIC AND PLASTIC SURGERY, PA

NPI Number
1871704338
Enumeration Date

(more than 19 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
AESTHETIC AND PLASTIC SURGERY, PA
Primary location
12000 ELM CREEK BLVD N STE 301
MAPLE GROVE, MN 55369-7090
Phone: (763) 200-6115 Fax: (763) 236-9010
Mailing address
11850 BLACKFOOT ST NW STE 130
COON RAPIDS, MN 55433-2583
Phone: (763) 236-1900 Fax: (763) 236-9010
Organization Subpart
No
Authorized Official
AGNIESZKA HATFIELD
OWNER
Phone: (763) 236-1900
Updated
Certification Date
Feb 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AESTHETIC AND PLASTIC SURGERY, PA

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.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBSMN131M0HA
otherHLTH PART92321
otherMEDICA1300140
otherUCARE131146
medicaidMN180700500
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 MN 1585

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.