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PLASTIC SURGERY ASSOCIATES PC NPI 1093899767


NPI Information

NPI: 1093899767
Provider Name: PLASTIC SURGERY ASSOCIATES PC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 23D0926444

Address:
220 LYON ST NW
SUITE 700
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 451-4500
Get Directions

PLASTIC SURGERY ASSOCIATES PC is a plastic surgery in Grand Rapids, MI. The provider is 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. PLASTIC SURGERY ASSOCIATES PC NPI is 1093899767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 LYON ST NW
SUITE 700
GRAND RAPIDS, MI
ZIP 49503-208
Phone: (616) 451-4500
Fax: (616) 451-9077

The provider's authorized official is Deborah Houghton-redding .
The authorized official title is Manager and has the following contact phone number (616) 451-4500.

The CLIA number assigned to this NPI record is 23D0926444 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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