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HAND & PLASTIC SURGERY CENTRE PLC NPI 1245394576


NPI Information

NPI: 1245394576
Provider Name: HAND & PLASTIC SURGERY CENTRE PLC

Doing Business As: ELITE PLASTIC SURGERY

Classification: Surgery - 2086S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
245 CHERRY ST SE
SUITE 302
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-4131
Get Directions

HAND & PLASTIC SURGERY CENTRE PLC is a surgery of the hand surgery in Grand Rapids, MI. The provider is a surgeon with expertise 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. HAND & PLASTIC SURGERY CENTRE PLC NPI is 1245394576. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elite Plastic Surgery.

The provider's business location address is:

245 CHERRY ST SE
SUITE 302
GRAND RAPIDS, MI
ZIP 49503-607
Phone: (616) 459-4131
Fax: (616) 459-6030

The provider's authorized official is Kathy Allen-stouffer .
The authorized official title is Practice Administrator and has the following contact phone number (616) 459-4131.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 2/14/2022.


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 SurgeryMICHIGANNo
22086S0105XSurgerySurgery of the HandMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12727404MEDICAIDMICHIGAN
24075832MEDICAIDMICHIGAN
34488298MEDICAIDMICHIGAN
44694901MEDICAIDMICHIGAN
53323257MEDICAIDMICHIGAN
60D16253OTHERMICHIGANBCBS OF MICHIGAN
74273703MEDICAIDMICHIGAN

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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