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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
20905 E 12 MILE RD STE 300 |
City | ROSEVILLE |
State | MI |
Zip Code | 48066-6501 |
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 |
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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 Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
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. |
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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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.