Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Defatta Ent & Facial Plastic Surgery Sc

Specialist in Altoona, WI · enumerated 2014 · authorized official Robert Defatta, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346664059

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Registry record

Entity type Organization (Type 2)

Legal business name Defatta Ent & Facial Plastic Surgery Sc

Practice address 1490 Rivers Edge Trail, Altoona, WI, 54720

Phone (715) 828-2368

Fax (715) 726-2087

Enumeration date Feb 17, 2014

Last updated in NPPES May 5, 2014

Taxonomy & classification

174400000X Specialist Other Service Providers · License 55984-20 (WI) Primary

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License 55984-20 (WI) Secondary

Authorized official

Name Robert Defatta

Title Owner

Phone (715) 828-2368

Other identifiers

Identifier	Type	State	Issuer
1578697520	Other	WI	NPI
100016459	Medicaid	WI	-
1790931707	Other	WI	NPI PROVIDER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-05-05. Verify at npiregistry.cms.hhs.gov.

Where is Defatta Ent & Facial Plastic Surgery Sc located?

The practice location on file with NPPES is in Altoona, WI.

Providers at this address

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Robert Defatta Otolaryngology Physician · Altoona, WI NPI 1578697520

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-05.