PLASTIC SURGERY OF MICHIGAN (NPI# 1053640557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053640557 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY OF MICHIGAN |
| Practice Address |
29877 Telegraph Rd Suite 107 Southfield MI 48034-1332 |
| Practice Telephone | 2483559911 |
| Practice Fax Number | 2483559961 |
| Mailing Telephone | 2483559911 |
| Mailing Fax Number | 2483559961 |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |
| Authorized Official Name | ANDREW MICHAEL LOFMAN (PRESIDENT) |
| Authorized Official Telephone | 2489904715 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 4301083297 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295786291 | Plastic Surgery of Michigan | Plastic Surgery | 29877 Telegraph Rd, Suite 107, Southfield, MI 48034-1332 | 2006-05-14 |
| Street Address |
29877 TELEGRAPH RD SUITE 107 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078587 | Walter J Cukrowski | Ophthalmology | 29877 Telegraph Rd, Suite 100, Southfield, MI 48034-1332 | 2005-10-24 |
| 1710547823 | Christina Akaraz | Nurse Practitioner | 29877 Telegraph Rd, Southfield, MI 48034-1332 | 2019-06-20 |
| 1669919379 | Wook Kim Md PC | Specialist | 29877 Telegraph Rd, Ste 401, Southfield, MI 48034-1332 | 2017-01-20 |
| 1538544218 | Jacqueline Elizabeth Smith | Nurse Practitioner | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 | 2015-07-23 |
| 1356779391 | Michigan Premier Geriatrics Pllc | Internal Medicine | 29877 Telegraph Rd, Suite 200, Southfield, MI 48034-7659 | 2013-10-30 |
| 1417384199 | Farmbrook Family Practice Pllc | Health Maintenance Organization | 29877 Telegraph Rd, Suite 302, Southfield, MI 48034-1332 | 2013-09-26 |
| 1063735058 | Hassan Amirikia Md PC | Obstetrics & Gynecology | 29877 Telegraph Rd, Suite 302, Southfield, MI 48034-1332 | 2010-03-05 |
| 1093045791 | Care Continuum Counseling Services | Counselor | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 | 2010-01-04 |
| 1134459969 | Wook Kim Md PC | Durable Medical Equipment & Medical Supplies | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-7661 | 2009-12-29 |
| 1306078415 | John H. Finley D.o. & Assoc P.C. | Surgery | 29877 Telegraph Rd, Suite 304, Southfield, MI 48034-1332 | 2009-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285100719 | Nuvantage Wound Care Solutions Pllc | Plastic Surgery | 21717 Rose Hollow Dr, Southfield, MI 48075-5508 | 2018-10-23 |
| 1508160193 | Birmingham Vein Center Pllc | Plastic Surgery | 30603 Southfield Road, Southfield, MI 48076-7729 | 2010-12-22 |
| 1720271901 | Gopal Malhotra | Plastic Surgery | 16001 W 9 Mile Rd Fl 3, Providence Hospital, Southfield, MI 48075-4818 | 2007-08-22 |
| 1114979515 | Mariam Awada | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2006-05-16 |
| 1699805556 | Michigan Cosmetic & Reconstructive | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2007-03-07 |
| 1952431744 | Birmingham Cosmetic Surgery LLC | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2007-03-07 |
| 1083779623 | Rouchdi M Rifai | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2006-12-26 |
| 1770529232 | Hashim M Alani | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2006-06-22 |
| 1295786291 | Plastic Surgery of Michigan | Plastic Surgery | 29877 Telegraph Rd, Suite 107, Southfield, MI 48034-1332 | 2006-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134614886 | Landmark Surgery Center | Plastic Surgery | 26850 Providence Pkwy Ste 125b, Novi, MI 48374-1253 | 2018-06-26 |
| 1194102467 | Matthew Kenneth Shaheen | Plastic Surgery | 28050 Grand River Ave Ste 518, Farmington Hills, MI 48336-5919 | 2015-05-06 |
| 1649675174 | Executive Plastic Surgery, Pllc | Plastic Surgery | 26850 Providence Pkwy Ste 125, Novi, MI 48374-1253 | 2014-10-27 |
| 1891109971 | John Philip Kelpin Jr. | Plastic Surgery | 221 Michigan St Ne # Mc106, Suite 200a, Grand Rapids, MI 49503-2543 | 2014-06-17 |
| 1891108759 | Jeffrey Thomas Desano II | Plastic Surgery | 31100 Telegraph Rd Ste 280, Bingham Farms, MI 48025 | 2014-06-09 |
| 1518306315 | Sarah M Elswick | Plastic Surgery | 201 W Big Beaver Rd Ste 1130, Troy, MI 48084-5298 | 2013-06-14 |
| 1730527326 | Advanced Plastic Surgery, PC | Plastic Surgery | 4551 Cascade Rd Se, Suite D, Grand Rapids, MI 49546-8372 | 2013-06-05 |
| 1396095568 | Cascade Plastic Surgery Plc | Plastic Surgery | 1514 Fourth St, Jackson, MI 49203-4032 | 2012-09-14 |
| 1013262476 | Ahmet R Karaca Md PC | Plastic Surgery | 101 Townsend St, Birmingham, MI 48009-6001 | 2012-07-20 |
| 1194088088 | John A Gorski | Plastic Surgery | 25500 Meadowbrook Rd Ste 275, Novi, MI 48375-1884 | 2012-06-17 |
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| City | SOUTHFIELD |
| Zip Code | 48034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.