DR. CHRISTOPHER CARSON JEFFRIES (NPI# 1306003819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306003819 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER CARSON JEFFRIES |
| Credential | M.D. |
| Practice Address |
4110 Copper Ridge Dr Suite 242 Traverse City MI 49684-6722 |
| Practice Telephone | 2319297700 |
| Practice Fax Number | 2319297709 |
| Mailing Telephone | 2319297700 |
| Mailing Fax Number | 2319297709 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 4301080398 | MI | Other Service Providers |
| Y | 208200000X | Plastic Surgery | 4301080398 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1306003819 | 05 | |
| MI | BCBS | 2402811442 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568811446 | Christopher James Jeffries | Audiologist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506-3702 | 2016-06-10 |
| Street Address |
4110 COPPER RIDGE DR SUITE 242 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-6722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306819461 | Steven V Thomas | Plastic Surgery | 4110 Copper Ridge Dr, Ste 242 Bldg D, Traverse City, MI 49684 | 2006-02-09 |
| 1972834463 | Douglas Albright | Occupational Therapist | 4110 Copper Ridge Dr, Ste 202, Traverse City, MI 49684 | 2010-01-22 |
| 1255666970 | Robert J Lyons | Chiropractor | 4110 Copper Ridge Dr, Ste. 210, Traverse City, MI 49684-6722 | 2009-10-14 |
| 1972750826 | Bay Area Oral & Maxillofacial Surgery, P.C. | Dentist | 4110 Copper Ridge Dr, Suite 210, Traverse City, MI 49684-6722 | 2008-08-22 |
| 1356563654 | Steven V Thomas Md and Associates PC | Specialist | 4110 Copper Ridge Dr, Suite 242, Traverse City, MI 49684-6722 | 2007-05-03 |
| 1407898810 | Karen A Tosiello | Physician Assistant | 4110 Copper Ridge Dr, Suite 242, Traverse City, MI 49684-7255 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| 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 |
|---|---|---|---|---|
| 1356494710 | Kyle Reece Ver Steeg II | Plastic Surgery | 4020 Copper Vw Ste 122, Traverse City, MI 49684-7041 | 2007-01-19 |
| 1699886168 | Thomas R Doerr | Plastic Surgery | 213 S Madison St, Traverse City, MI 49684-2321 | 2006-08-31 |
| 1306819461 | Steven V Thomas | Plastic Surgery | 4110 Copper Ridge Dr, Ste 242 Bldg D, Traverse City, MI 49684 | 2006-02-09 |
| 1285614032 | F Matthew Smith | Plastic Surgery | 5085 Anna Dr, Traverse City, MI 49684-9691 | 2006-01-18 |
| 1215460431 | Northern Michigan Plastic Surgery PC | Plastic Surgery | 4020 Copper Vw, Suite 122, Traverse City, MI 49684-7098 | 2017-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285100719 | Nuvantage Wound Care Solutions Pllc | Plastic Surgery | 21717 Rose Hollow Dr, Southfield, MI 48075-5508 | 2018-10-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.