ELITE PLASTIC SURGERY – NPI #1245394576
Surgery

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.

ELITE PLASTIC SURGERY is a surgeon located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1245394576 to ELITE PLASTIC SURGERY on December 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELITE PLASTIC SURGERY” is a dba name, the actual legal business name for this organization is HAND & PLASTIC SURGERY CENTRE PLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0105X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgery of the Hand

The NPI profile was previously updated about 4 years ago on Feb 14, 2022. 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 ELITE PLASTIC SURGERY below.

NPI Profile for
HAND & PLASTIC SURGERY CENTRE PLC

NPI Number
1245394576
Enumeration Date

(more than 19 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
HAND & PLASTIC SURGERY CENTRE PLC
Doing Business As (dba): ELITE PLASTIC SURGERY
Primary location
245 CHERRY ST SE
SUITE 302
GRAND RAPIDS, MI 49503-4607
Phone: (616) 459-4131 Fax: (616) 459-6030
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHY ALLEN-STOUFFER
PRACTICE ADMINISTRATOR
Phone: (616) 459-4131
Updated
Certification Date
Feb 14, 2022

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.

Identifiers

Identifiers for ELITE 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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBS OF MICHIGANMI0D16253
MEDICAIDMI4075832
MEDICAIDMI4694901
MEDICAIDMI2727404
MEDICAIDMI3323257
MEDICAIDMI4488298
MEDICAIDMI4273703
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
2086S0105X
- Surgery / Surgery of the Hand (Primary)
MI
2086S0122X
- Surgery / Plastic and Reconstructive Surgery
MI

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.