MICHIGAN COSMETIC & RECONSTRUCTIVE (NPI# 1699805556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699805556 |
| Entity Type | Organization |
| Organization Name | MICHIGAN COSMETIC & RECONSTRUCTIVE |
| Practice Address |
30603 Southfield Rd Southfield MI 48076-7729 |
| Practice Telephone | 2485401900 |
| Practice Fax Number | 2487678706 |
| Mailing Telephone | 2485401900 |
| Mailing Fax Number | 2487678706 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MARIAM H AWADA (OWNER) |
| Authorized Official Telephone | 2485401900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 4301082433 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | STATE LICENSE | 4301082433 | 01 |
| Street Address |
30603 SOUTHFIELD RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-7729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114979515 | Mariam Awada | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2006-05-16 |
| 1902397334 | Integritas Wellness Institute Plc | Internal Medicine | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2018-05-22 |
| 1174776033 | Plastic Surgery Affiliates PC | Anesthesiology | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2008-10-23 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| 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 |
| 1053640557 | Plastic Surgery of Michigan | Plastic Surgery | 29877 Telegraph Rd, Suite 107, Southfield, MI 48034-1332 | 2009-12-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
Please comment or provide details below to improve the information on MICHIGAN COSMETIC & RECONSTRUCTIVE.
| 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.