ADVANCED PLASTIC SURGERY, PC – NPI #1497425508
Clinic/Center

ADVANCED PLASTIC SURGERY, PC is an AHC clinic located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1497425508 to ADVANCED PLASTIC SURGERY, PC on September 20, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED PLASTIC SURGERY, PC below.

NPI Profile for
ADVANCED PLASTIC SURGERY, PC

NPI Number
1497425508
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED PLASTIC SURGERY, PC
Primary location
3855 BURTON ST SE STE A
GRAND RAPIDS, MI 49546-6147
Phone: (616) 323-3102 Fax: (616) 323-3061
Mailing address
Same as primary location
Organization Subpart
Yes - ADVANCED PLASTIC SURGERY, PC is subpart of another organization.
Authorized Official
EWA KOMOROWSKA-TIMEK
PHYSICIAN OWNER
Phone: (616) 323-3102
Updated
Certification Date
Sep 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.