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Organization

Omni Medical Center PLLC

NPI Record: ActivePlastic Surgery
NPI1659845659
Wayzata, Minnesota

Provider's NPPES record last updated: May 15, 2019

Overview

Entity Type
Organization
NPI
1659845659
Primary Specialty
Plastic Surgery
Practice Location
Wayzata, Minnesota
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 11:12 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

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This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Plastic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 208200000X
  • Plastic Surgery

    Plastic Surgery Within the Head and Neck

    Allopathic & Osteopathic Physicians

    A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

    Taxonomy code 2082S0099X

Practice Locations

Practice Location

935 Wayzata Blvd E Ste 200

Wayzata, Minnesota 55391-2513

Phone: (763) 559-4500

Additional Practice Location

628 Roosevelt Rd Ste 102

Saint Cloud, Minnesota 56301-4867

Phone: (320) 774-2411

Fax: (763) 559-1733

Other Names

  • Omni CosmeticReported January 14, 2019
  • Omni CosmeticReported May 15, 2019

Record Information

Enumeration Date
January 14, 2019
Provider's NPPES Record Last Updated
May 15, 2019
NPISignal NPPES Dataset
August 2026

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