MALHOTRA CENTER FOR PLASTIC SURGERY (NPI# 1093730939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093730939 |
| Entity Type | Organization |
| Organization Name | MALHOTRA CENTER FOR PLASTIC SURGERY |
| Other Organization Name | ANN ARBOR PLASTIC SURGERY |
| Practice Address |
900 E Michigan Ave Ste 108 Jackson MI 49201-2457 |
| Practice Telephone | 5177899800 |
| Practice Fax Number | 5177899801 |
| Mailing Telephone | 5177899800 |
| Mailing Fax Number | 5177899801 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-01-09 |
| Authorized Official Name | DR. PRAMIT SOPHAT MALHOTRA (OWNER) |
| Authorized Official Telephone | 5177899800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ann Arbor Plastic Surgery | Doing Business As Name - Organization |
| Street Address |
900 E MICHIGAN AVE STE 108 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164484796 | Pramit S Malhotra | Surgery | 900 E Michigan Ave, Ste 108, Jackson, MI 49201-2457 | 2006-04-06 |
| 1043772239 | Samantha Marie Rinna | Nurse Practitioner | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2019-04-05 |
| 1326510629 | Danella Darlene Darling | Physician Assistant | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2018-12-26 |
| 1124523915 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2018-03-26 |
| 1295082030 | Renee Hendrick | Nurse Practitioner | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2012-08-11 |
| 1861724411 | Mohan G Kulkarni Md PC | Exclusive Provider Organization | 900 E Michigan Ave, Suite 103, Jackson, MI 49201-2457 | 2010-02-08 |
| 1366670200 | Bruce S Barbour, Md | Internal Medicine | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2009-06-30 |
| 1043472509 | Sandra Kay Raby | Nurse Practitioner | 900 E Michigan Ave, Suite 106, Jackson, MI 49201-2457 | 2008-06-26 |
| 1497954598 | Rami Alzebdeh | Internal Medicine | 900 E Michigan Ave, Suite 105, Jackson, MI 49201-2457 | 2007-07-17 |
| 1952512766 | Great Lakes Brain and Spine Institute PC | Specialist | 900 E Michigan Ave, Suite 109, Jackson, MI 49201-2457 | 2007-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
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| 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 |
|---|---|---|---|---|
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1396095568 | Cascade Plastic Surgery Plc | Plastic Surgery | 1514 Fourth St, Jackson, MI 49203-4032 | 2012-09-14 |
| 1972890085 | Diana Marie Flis | Plastic Surgery | 3305 Spring Arbor Rd Ste 200, Jackson, MI 49203-3995 | 2011-07-09 |
| 1316167679 | Laura Beth Cooper | Plastic Surgery | 555 E Broadway Ave Ste 218, Jackson, WY 83001-8640 | 2007-04-27 |
| 1689738858 | Patricia L. Rooney, D.o. | Plastic Surgery | 2575 Spring Arbor Rd Ste 300, Jackson, MI 49203-3652 | 2006-12-21 |
| 1235223728 | Patricia L. Rooney, D.o. | Plastic Surgery | 2575 Spring Arbor Road, Suite 300, Jackson, MI 49203 | 2006-10-02 |
| 1831135755 | Marshall Ross Yellen | Plastic Surgery | 10 Lynoak Cv, Jackson, TN 38305-2800 | 2006-06-20 |
| 1003890179 | Fred Blackledge | Plastic Surgery | 764 Lakeland Dr, Jackson, MS 39216-4617 | 2005-12-02 |
| 1750386066 | David William Adcock | Plastic Surgery | 1850 Chadwick Dr Ste 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2005-06-15 |
| 1558903146 | Signature Plastic Surgery, Pllc | Plastic Surgery | 555 E Broadway Ave Ste 218, Jackson, WY 83001-8640 | 2019-10-15 |
| Find all providers in JACKSON | ||||
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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.