GEORGE THOMAS GOFFAS (NPI# 1982627196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982627196 |
| Entity Type | Individual |
| Full Name | GEORGE THOMAS GOFFAS |
| Credential | MD |
| Practice Address |
22631 Greater Mack Ave Ste 200 Saint Clair Shores MI 48080-2055 |
| Mailing Address |
22631 Greater Mack Ave Suite 200 Saint Clair Shores MI 48080-2055 |
| Practice Telephone | 5867736900 |
| Practice Fax Number | 5867735851 |
| Mailing Telephone | 5867736900 |
| Mailing Fax Number | 5867735851 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | 2901014708 | MI | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 4301064416 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
22631 GREATER MACK AVE STE 200 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285654152 | Michael Allen Macdonald | Audiologist | 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055 | 2006-07-20 |
| 1255886305 | Patricia Roach | Hearing Instrument Specialist | 22631 Greater Mack Ave, Ste 100, Saint Clair Shores, MI 48080-2055 | 2016-08-18 |
| 1538515721 | Audionet America - St Clair Shores LLC | Audiologist | 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055 | 2016-05-06 |
| 1548597149 | Jo Anne Levitan Md PC | Surgery | 22631 Greater Mack Ave, Suite 300, Saint Clair Shores, MI 48080-2014 | 2009-11-03 |
| 1225217128 | Pointes Plastic Surgery Associates P C | Plastic Surgery | 22631 Greater Mack Ave, Suite 200, Saint Clair Shores, MI 48080-2055 | 2007-10-26 |
| 1255407631 | Joram O Mogaka | Internal Medicine | 22631 Greater Mack Ave, Saint Clair Shores, MI 48080-2055 | 2006-11-28 |
| 1023116068 | Stephenie M Lucas | General Practice | 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080-2055 | 2006-09-21 |
| 1144261272 | Joanne Levitan | Surgery | 22631 Greater Mack Ave, Suite 300, Saint Clair Shores, MI 48080-2014 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| 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 |
|---|---|---|---|---|
| 1215939673 | Daniela Maria Rodriguez | Plastic Surgery | 21727 Mack Ave, Saint Clair Shores, MI 48080-2418 | 2005-08-15 |
| 1225217128 | Pointes Plastic Surgery Associates P C | Plastic Surgery | 22631 Greater Mack Ave, Suite 200, Saint Clair Shores, MI 48080-2055 | 2007-10-26 |
| 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 | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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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.