AUTHENTIC PLASTIC SURGERY, LLC – Plastic Surgery Physician, NPI 1922358514

AUTHENTIC PLASTIC SURGERY, LLC is a healthcare provider. based in Minnetonka, Minnesota. specializing in Plastic Surgery Physician. The NPI Number for AUTHENTIC PLASTIC SURGERY, LLC is 1922358514

Main info

Organization
Name
AUTHENTIC PLASTIC SURGERY, LLC
NPI
1922358514
Phone
(612) 360-6466
Address
2000 PLYMOUTH ROAD
Authorized Official
PAWEL STACHOWICZ MD MD
Enumeration Date
12 September 2012
Last Update Date
12 November 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for AUTHENTIC PLASTIC SURGERY, LLC

  • 2000 PLYMOUTH ROAD

    SUITE 260

    MINNETONKA, MN 553052335

    Phone: (612) 360-6466

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55305)

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Reviews

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Frequently asked questions

How do payers reference AUTHENTIC PLASTIC SURGERY, LLC?
For AUTHENTIC PLASTIC SURGERY, LLC, use NPI 1922358514 as the unique 10-digit identifier.
Is AUTHENTIC PLASTIC SURGERY, LLC shown as active in public data?
Registry records indicate AUTHENTIC PLASTIC SURGERY, LLC maintains an active NPI.
What clinical focus is listed for AUTHENTIC PLASTIC SURGERY, LLC?
At a glance, AUTHENTIC PLASTIC SURGERY, LLC is tied to Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AUTHENTIC PLASTIC SURGERY, LLC?
Travel planning: use Minnetonka, Minnesota as the reference point for AUTHENTIC PLASTIC SURGERY, LLC, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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