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

Cincinnati Institue of Plastic Surgery, LLC

Organization Plastic Surgery Physician · NPI 1417283862

Cincinnati Institue of Plastic Surgery, LLC provides Plastic Surgery Physician services in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2009.

Licensed in
OH
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10577 Montgomery Rd
Cincinnati, OH 45242-4451 Not confirmed with CMS for 16 years — call before visiting
Phone: (513) 793-5772
Fax: (513) 792-5384
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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 35057586 (OH)

Record details

NPI number1417283862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter McKenna — Owner · (513) 793-5772
NPI enumeratedOctober 20, 2009
Last updated in NPPESOctober 20, 2009
Mailing address10577 Montgomery Rd, Cincinnati, OH 45242-4451

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