IMAGE BY DESIGN PLASTIC SURGERY PLLC


Address: 20905 E 12 Mile Rd, Ste 300, Roseville, MI 48066-6501
Phone: 5867763223

IMAGE BY DESIGN PLASTIC SURGERY PLLC (NPI# 1265600464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265600464
Entity Type Organization
Organization Name IMAGE BY DESIGN PLASTIC SURGERY PLLC
Practice Address 20905 E 12 Mile Rd
Ste 300
Roseville
MI 48066-6501
Practice Telephone 5867763223
Practice Fax Number 5867766670
Mailing Telephone 5867763223
Mailing Fax Number 5867766670
Enumeration Date 2008-02-11
Last Update Date 2008-02-11
Authorized Official Name MELEK R KAYSER (PHYSICIAN OWNER)
Authorized Official Telephone 5867763223
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 20905 E 12 MILE RD
STE 300
City ROSEVILLE
State MI
Zip Code 48066-6501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669454013 Michelle M Deyoung Podiatrist 20905 E 12 Mile Rd, Ste 100, Roseville, MI 48066-6501 2005-11-18
1376157800 Sean O'mara Physical Therapist 20905 E 12 Mile Rd, Roseville, MI 48066-6501 2020-09-02
1578197299 Team Rehabilitation Rv LLC Physical Therapist 20905 E 12 Mile Rd, Roseville, MI 48066-6501 2020-03-03
1801294608 Complete Rehab Services, Inc Clinic/Center 20905 E 12 Mile Rd, Suite 300, Roseville, MI 48066 2014-12-10
1811312366 Shores Podiatry Associates, P.C. Clinic/Center 20905 E 12 Mile Rd, Suite 300, Roseville, MI 48066-6501 2014-02-20
1194950568 Alejandro S Zavala Physical Therapist 20905 E 12 Mile Rd, Roseville, MI 48066-6501 2009-05-28
1447204151 Shores Podiatry Associates, P.C. Podiatrist 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 2006-05-19
1891765871 Kevan R Kreitman Podiatrist 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 2006-01-24
1407826241 Bryan C West Podiatrist 20905 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6501 2006-01-24
1306829544 James M Mccarty Podiatrist 20905 E 12 Mile Rd, Ste 100, Roseville, MI 48066-6501 2005-11-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761400 Louay Mansour Dds PC Dentist 27845 Gratiot Avenue, Roseville, MI 48066 2020-08-20
1558911842 Jomy Jose Nurse Practitioner 25719 Salem St, Roseville, MI 48066 2019-09-18
1053963033 Convenient Rv PC Dentist 19551 E. 10 Mile Rd, Roseville, MI 48066 2019-07-10
1063914539 Colleen Meriweather Registered Nurse 27300 Spruce, Rosevilel, MI 48066 2018-03-01
1326565789 Renee Suzette Hoelzeman Nurse Practitioner 18472 Meier St, Roseville, MI 48066 2017-08-27
1225561400 Eugenia Dillard Counselor 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 2017-04-05
1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
1619393899 Katherine Michelle Johnson Obstetrics & Gynecology 29751 Little Mack Ave Ste B, Roseville, MI 48066 2014-03-11
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629528765 Paragon Health, P.C. Surgery 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 2016-10-13
1487091989 Trevor K O'brien Surgery 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 2013-05-24
1851689525 Robert Moore Oneal Surgery 501 Onondaga St, Ann Arbor, MI 48104-2606 2011-07-15
1902072952 Michigan Cosmetic & Reconstructive Surgery Pllc Surgery 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 2008-04-30
1518184175 Halil Ibrahim Canter Surgery 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 2007-04-18
1285756148 Andrea Emma Van Pelt Surgery 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 2007-04-04
1083741367 Kenneth Wolf Surgery 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 2007-02-27
1972630259 Lauran Bryan Surgery 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 2007-02-27
1689761439 John J Iacobucci Surgery 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 2006-10-05
1710996319 Ewa D Komorowska-timek Surgery 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 2006-08-05
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Competitor

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City ROSEVILLE
Zip Code 48066

Improve Information

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Dataset Information

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.

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