DR. KIMBERLY CLAWSON (NPI# 1689818486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689818486 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY CLAWSON |
| Practice Address |
7901 S 12th St Portage MI 49024 |
| Mailing Address |
7901 S 12th St Portage MI 49024-3831 |
| Practice Telephone | 2693723000 |
| Mailing Telephone | 2693723000 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 4301108963 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
6481420 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 N Oak Ave, Marshfield, WI 54449 | 7153875511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457885832 | Kimberly Clawson | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Dept of Psychiatry, Washington, DC 20007-2113 | 2017-04-12 |
| Street Address |
7901 S 12TH ST |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538593009 | Kimberly Carol Clark | Specialist | 7901 S 12th St, Suite 200, Portage, MI 49024-3831 | 2013-09-02 |
| 1669756912 | Kalamazoo Foot and Ankle Specialists, Plc | Podiatrist | 7901 S 12th St, Suite 101, Portage, MI 49024-3831 | 2011-10-05 |
| 1639464894 | Kelly Renee Campbell | Occupational Therapist | 7901 S 12th St, Suite #200, Portage, MI 49024-3831 | 2011-06-16 |
| 1144519133 | Jonathan Nykamp | Nurse Practitioner | 7901 S 12th St, Portage, MI 49024-3831 | 2011-03-31 |
| 1184886111 | Michael P Maskill | Podiatrist | 7901 S 12th St, Portage, MI 49024-3831 | 2008-07-01 |
| 1588756340 | Bryan Dale Visser | Physical Medicine & Rehabilitation | 7901 S 12th St, Suite #200, Portage, MI 49024-3831 | 2006-09-29 |
| 1609968247 | Alfonso Emanuel F Rodriguez | Physical Therapist | 7901 S 12th St, Suite #200, Portage, MI 49024-3831 | 2006-09-29 |
| 1487760427 | Great Lakes Cardiovascular Thoracic Surgery, Plc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7901 S 12th St, Suite 201, Portage, MI 49024-3831 | 2006-08-22 |
| 1356384275 | George Joseph Mack | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7901 S 12th St, Ste. 201, Portage, MI 49024-3831 | 2006-06-14 |
| 1942247176 | Sports Medicine & Joint Care of West Michigan, Plc | Orthopaedic Surgery | 7901 S 12th St, Suite 101, Portage, MI 49024-3831 | 2006-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1811994841 | Scott Donald Holley | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2005-07-06 |
| 1720538341 | Southwest Michigan Plastic and Hand Surgery, PC | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2016-10-06 |
| 1336335785 | Great Lakes Plastic Reconstructive & Hand Surgery P C | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2007-09-19 |
| 1629075668 | Raghuram Gop Elluru | Plastic Surgery | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2005-07-06 |
| 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 |
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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.