SIGNATURE SURGICAL ARTS AND MEDSPA – NPI #1740891274
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

SIGNATURE SURGICAL ARTS AND MEDSPA is a surgeon located in HOLLAND, MI. NPPES has assigned the NPI number 1740891274 to SIGNATURE SURGICAL ARTS AND MEDSPA on August 10, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SIGNATURE SURGICAL ARTS AND MEDSPA” is a dba name, the actual legal business name for this organization is SIGNATURE SURGICAL ARTS AND MEDSPA PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 6 years ago on Oct 27, 2020. 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 SIGNATURE SURGICAL ARTS AND MEDSPA below.

NPI Profile for
SIGNATURE SURGICAL ARTS AND MEDSPA PLLC

NPI Number
1740891274
Enumeration Date

(about 6 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
SIGNATURE SURGICAL ARTS AND MEDSPA PLLC
Doing Business As (dba): SIGNATURE SURGICAL ARTS AND MEDSPA
Primary location
3100 N WELLNESS DR
HOLLAND, MI 49424-8122
Phone: (616) 396-1433 Fax:
1 Other location(s):
3501 Rivertown Point Ct SW
Grandville, MI 49418-3038
Phone: (616) 396-1433
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JASON STUBBS
OWNER/PHYSICIAN
Phone: (812) 639-4570
Updated
Certification Date
Oct 27, 2020

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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
208200000X
- Plastic Surgery

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.