DR. JEFFREY THOMAS DESANO II (NPI# 1891108759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891108759 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY THOMAS DESANO II |
| Credential | D.O. |
| Practice Address |
31100 Telegraph Rd Ste 280 Bingham Farms MI 48025 |
| Mailing Address |
313 S Dorchester Ave Royal Oak MI 48067-3964 |
| Practice Telephone | 2482088844 |
| Mailing Telephone | 5864844022 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 5101021136 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 5101021136 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5450 Fort St, Trenton, MI 481834601 | 7346713297 |
| Street Address |
31100 TELEGRAPH RD STE 280 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| 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 |
|---|---|---|---|---|
| 1447280110 | Raymond T Hajjar Jr. | Plastic Surgery | 31100 Telegraph Rd, Ste 280, Bingham Farms, MI 48025-4363 | 2006-07-05 |
| 1457319790 | Straith Clinic, P.C. | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2006-05-03 |
| 1770847667 | Marissa Elizabeth Baca | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2012-06-26 |
| 1679763288 | Raymond T. Hajjar, D.o. and Christopher Lumley, D.o., P.C. | Plastic Surgery | 31100 Telegraph Rd, Ste 280, Bingham Farms, MI 48025-4363 | 2007-07-30 |
| 1669678793 | Christopher Robert Lumley | Plastic Surgery | 31100 Telegraph Rd, Suite 280, Bingham Farms, MI 48025-4363 | 2007-06-25 |
| 1689622276 | William Henry Sabbagh | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2006-05-05 |
| 1891743712 | Lawrence Tong | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2006-05-04 |
| 1437117033 | Enrique Sabbagh | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2006-05-03 |
| 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 |
| 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 | BINGHAM FARMS |
| Zip Code | 48025 |
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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.