DR. MICHELLE MARTIN SOUTHARD (NPI# 1992045090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992045090 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE MARTIN SOUTHARD |
| Credential | D.O. |
| Practice Address |
4660 S Hagadorn Rd Ste 600 East Lansing MI 48823-5383 |
| Practice Telephone | 5172672460 |
| Mailing Telephone | 5172672460 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | P4783 | TX | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 5101020787 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
P4783 | TX | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
5101020787 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477956449 | Michelle Southard | Occupational Therapist | 3690 N Mount Juliet Rd, Mount Juliet, TN 37122-3181 | 2014-10-03 |
| Street Address |
4660 S HAGADORN RD STE 600 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-5383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699725895 | Michigan State University | Internal Medicine | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2006-05-11 |
| 1518599588 | Msu Health Care Inc | Surgery | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2020-02-07 |
| 1346621885 | Erik James Lickteig | Physician Assistant | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2015-06-10 |
| 1285074914 | Ezemonye O Madu | Radiology | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2013-06-26 |
| 1841554581 | Jennifer Uitvlugt | Surgery | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2012-06-27 |
| 1881892388 | Stephanie Marie-cohen Bray | Plastic Surgery | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| 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 |
|---|---|---|---|---|
| 1669661450 | Preecha Supanwanid | Plastic Surgery | 921 Abbot Rd, East Lansing, MI 48823-3170 | 2007-10-17 |
| 1346238920 | Preecha Supanwanid, Md PC | Plastic Surgery | 921 Abbott Rd, East Lansing, MI 48823-3170 | 2005-10-08 |
| 1508116914 | Khalid Mutlag Almutairi | Plastic Surgery | 4660 S Hagadorn Rd, Ste 600, East Lansing, MI 48823-5376 | 2012-09-12 |
| 1285805895 | William Clifford Huettner | Plastic Surgery | 2111 Merritt Rd, Suite 101, East Lansing, MI 48823-6916 | 2008-03-23 |
| 1881892388 | Stephanie Marie-cohen Bray | Plastic Surgery | 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823-5383 | 2007-07-05 |
| 1861514002 | Andrew Michael Zwyghuizen | Plastic Surgery | 4660 S Hagadorn Rd, Suite 600, East Lansing, MI 48823-5376 | 2007-04-06 |
| 1740390160 | Lee H Colony Md PC | Plastic Surgery | 2900 Hannah Blvd, Suite 110, East Lansing, MI 48823-5384 | 2006-08-30 |
| 1467490540 | Lee H Colony | Plastic Surgery | 2900 Hannah Blvd, Suite 110, East Lansing, MI 48823-5384 | 2006-06-02 |
| 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 | EAST LANSING |
| Zip Code | 48823 |
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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.