Provider Type Icon

MS. LEAHTHAN FAYE DOMESHEK MD NPI 1659683225


NPI Information

NPI: 1659683225
Provider Name: MS. LEAHTHAN FAYE DOMESHEK, MD
Classification: Plastic Surgery - 2082S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

PECOS Registration: Yes

Address:
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 486-5885
Get Directions

MS. Leahthan Faye Domeshek, MD is a surgery of the hand plastic surgery in Grand Rapids, MI. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. MS. Leahthan Faye Domeshek, MD NPI is 1659683225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI
ZIP 49503-530
Phone: (616) 486-5885

The NPI 1659683225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2010 and was last updated on 11/23/2022.


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
12086S0122XSurgeryPlastic and Reconstructive SurgeryDR.0060955COLORADONo
2208200000XPlastic Surgery4301507922MICHIGANNo
32082S0105XPlastic SurgerySurgery of the Hand4301507922MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.