GRAND RAPIDS PLASTIC SURGERY PLC (NPI# 1184815417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184815417 |
| Entity Type | Organization |
| Organization Name | GRAND RAPIDS PLASTIC SURGERY PLC |
| Other Organization Name | CENTRE FOR PLASTIC SURGERY |
| Practice Address |
426 Michigan St Ste 300 Grand Rapids MI 49503-5609 |
| Practice Telephone | 6164541256 |
| Practice Fax Number | 6168312648 |
| Mailing Telephone | 6164541256 |
| Mailing Fax Number | 6168312648 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | SCOTT R BRUNDAGE (MEMBER) |
| Authorized Official Telephone | 6164541257 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Centre for Plastic Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760654602 | Grand Rapids Plastic Surgery Plc | Plastic Surgery | 2060 East Paris Ave Se, Suite 150, Grand Rapids, MI 49546 | 2008-04-01 |
| Street Address |
426 MICHIGAN ST STE 300 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346367539 | Stephen Edward Mulder | Dentist | 426 Michigan St, Suite 207, Grand Rapids, MI 49503 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| 1275529562 | Spectrum Health Hospitals | Clinic/Center | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2005-09-22 |
| 1366438632 | Spectrum Health Hospitals | Clinic/Center | 4100 Lake Dr Se, Grand Rapids, MI 49546-8292 | 2005-09-22 |
| 1720530405 | Grand Rapids Surgical Suites, Pllc | Clinic/Center | 2505 E Paris Ave Se, Suite 105, Grand Rapids, MI 49546-2459 | 2016-10-28 |
| 1134363690 | Oam Surgery Center At Midtowne, LLC | Clinic/Center | 555 Midtowne St Ne, Suite 200, Grand Rapids, MI 49503-5729 | 2009-04-28 |
| 1548332976 | Plastic Surgery Associates PC | Clinic/Center | 220 Lyon St Nw, Suite 700, Grand Rapids, MI 49503-2208 | 2006-11-14 |
| 1265487474 | Horseshoe Surgery Center, LLC | Clinic/Center | 1542 Golf Course Rd, Suite 105, Grand Rapids, MN 55744-9603 | 2006-05-24 |
| 1194798959 | East Paris Surgical Center, LLC | Clinic/Center | 1000 E Paris Ave Se, Suite Ll01, Grand Rapids, MI 49546-3680 | 2006-02-10 |
| 1255327540 | Spectrum Health Hospitals | Clinic/Center | 1000 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-3691 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1134685415 | Southfield Surgery Center LLC | Clinic/Center | 26225 Greenfield Road, Southfield, MI 48076-4704 | 2019-02-12 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on GRAND RAPIDS PLASTIC SURGERY PLC.
| 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.