OrganizationActive
Fargo Plastic Surgery PC
NPI 1659620110 · Plastic Surgery Physician · Fargo, ND
Provider details
- NPI number
- 1659620110
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peg Gilbertson, Practice Manager(701) 499-4807
- License
- PT 12481 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3280 20th St S
Fargo, ND 58104-5917
Phone: (701) 293-7480
Fax: (701) 235-2099
Street-level locationGet directions
Mailing address
3280 20th St S
Fargo, ND 58104-5917
Registry dates
- Enumerated
- 2012-08-30
- Last updated
- 2012-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.