CENTRE FOR PLASTIC SURGERY – NPI #1760654602
Plastic Surgery

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.

CENTRE FOR PLASTIC SURGERY is a plastic surgeon located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1760654602 to CENTRE FOR PLASTIC SURGERY on April 01, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRE FOR PLASTIC SURGERY” is a dba name, the actual legal business name for this organization is GRAND RAPIDS PLASTIC SURGERY PLC. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 13 years ago on Jul 31, 2013. 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 CENTRE FOR PLASTIC SURGERY below.

NPI Profile for
GRAND RAPIDS PLASTIC SURGERY PLC

NPI Number
1760654602
Enumeration Date

(more than 18 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
GRAND RAPIDS PLASTIC SURGERY PLC
Doing Business As (dba): CENTRE FOR PLASTIC SURGERY
Primary location
2060 EAST PARIS AVE SE
SUITE 150
GRAND RAPIDS, MI 49546
Phone: (616) 454-1256 Fax: (616) 454-0308
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CAROL FEWLESS
PRACTICE ADMINISTRATOR
Phone: (616) 454-1256
Updated
Identifiers

Identifiers for CENTRE FOR PLASTIC SURGERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSMI0D11002
OTHERBCNMIB0001
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
208200000X
- Plastic Surgery (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.