MITCHELL RONALD GAUGER (NPI# 1235791005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235791005 |
| Entity Type | Individual |
| Full Name | MITCHELL RONALD GAUGER |
| Credential | MD |
| Practice Address |
221 Michigan St Ne Ste 300 Grand Rapids MI 49503 |
| Mailing Address |
221 Michigan St Ne Ste 300 Grand Rapids MI 49503-2537 |
| Practice Telephone | 6163911909 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 4351045673 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 495032527 | 6163918806 |
| Street Address |
221 MICHIGAN ST NE STE 300 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
| 1184246068 | Stephen Goodin | Student in an Organized Health Care Education/Training Program | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2020-05-13 |
| 1558990747 | Faisal Akram | Student in an Organized Health Care Education/Training Program | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2020-04-08 |
| 1528697992 | Kent Kern | Student in an Organized Health Care Education/Training Program | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2020-04-07 |
| 1962031765 | Nicholas Christian Wesely | Student in an Organized Health Care Education/Training Program | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2020-04-03 |
| 1770112500 | Daniella Anderson | Student in an Organized Health Care Education/Training Program | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2020-04-03 |
| 1043849102 | Matthew John Pate | Student in an Organized Health Care Education/Training Program | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2020-04-02 |
| 1699303743 | Taylor Austin Buuck | Student in an Organized Health Care Education/Training Program | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2020-04-01 |
| 1780245803 | Joseph William Gorvetzian | Plastic Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2019-06-28 |
| 1982265179 | James Christian Peterson | Orthopaedic Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1891109971 | John Philip Kelpin Jr. | Plastic Surgery | 221 Michigan St Ne # Mc106, Suite 200a, Grand Rapids, MI 49503-2543 | 2014-06-17 |
| 1730527326 | Advanced Plastic Surgery, PC | Plastic Surgery | 4551 Cascade Rd Se, Suite D, Grand Rapids, MI 49546-8372 | 2013-06-05 |
| 1346484367 | Cosmetic and Plastic Surgery of Michigan PC | Plastic Surgery | 2680 Leonard St Ne Ste 4, Grand Rapids, MI 49525-6902 | 2009-04-21 |
| 1194979039 | Plastic Surgery Specialists, Pllc | Plastic Surgery | 2060 E. Paris, Suite 110, Grand Rapids, MI 49546 | 2008-11-05 |
| 1265597223 | Scott R Brundage | Plastic Surgery | 2060 East Paris Avenue Se, Suite 150, Grand Rapids, MI 49546 | 2006-12-27 |
| 1477534931 | John William Polley | Plastic Surgery | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2514 | 2005-11-10 |
| 1922002419 | David Arthur Vanderwall | Plastic Surgery | 220 Lyon St Nw, Ste 700, Grand Rapids, MI 49503-2210 | 2005-06-13 |
| 1780245803 | Joseph William Gorvetzian | Plastic Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2019-06-28 |
| 1346734654 | Olivia Cassie Means | Plastic Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2018-06-20 |
| 1205323102 | Arminder Singh Kaura | Plastic Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 | 2018-04-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.