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DEROSA PLASTIC SURGERY, PLLC
NPI 1144618075
Surgery - Plastic and Reconstructive Surgery in Southfield, MI

Active since December 30, 2014
22401 FOSTER WINTER DR, SOUTHFIELD, MI 48075(248) 688-7597(248) 498-6060 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derosa Plastic Surgery, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEROSA PLASTIC SURGERY, PLLC (NPI 1144618075) is a healthcare organization registered as a plastic and reconstructive surgery in Southfield, Michigan and active in the NPI registry since December 2014. The organization lists Amy P Derosa, Owner, as its authorized official.

NPPES Registry Identity

NPI1144618075
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameDEROSA PLASTIC SURGERY, PLLC
Location Address22401 FOSTER WINTER DRSouthfield, MI 48075-3724
Mailing Address22401 Foster Winter DrSouthfield, MI 48075-3724 · (248) 688-7597 · Fax (248) 498-6060
Phone(248) 688-7597
Fax(248) 498-6060
Organization SubpartNo
Authorized OfficialAmy P DerosaOwner · (248) 688-7597
Enumeration DateDecember 30, 2014
Last NPPES UpdateJune 22, 2015
✔ NPI 1144618075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MI · 5101017043
Definition
A surgeon who specializes in plastic and reconstructive surgery.
22401 FOSTER WINTER DR, Southfield, MI 48075
Open in Google Maps ↗

Other Identifiers 1

Medicaid7789986MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANESTHESIA SERVICES ASSOCIATES, PC - ORMC
Specialist
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075
Oakland County (248) 423-5100
DAVID C MILBURN PTA
Physical Therapy Assistant
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075
Oakland County (248) 423-5100
MUSTAFA HARES, M.D. P.C.
Surgery
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075
Oakland County (248) 371-3199
PHILLIP D UNTHANK CRNA
Nurse Anesthetist, Certified Registered
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075
Oakland County (248) 423-5100
LORI A SZYDLOWSKI CRNA
Nurse Anesthetist, Certified Registered
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075
Oakland County (248) 423-5100
STEVEN L PENN CRNA
Nurse Anesthetist, Certified Registered
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075
Oakland County (248) 423-5100
ANA MARIE KOTSOGIANNIS CRNA
Nurse Anesthetist, Certified Registered
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075
Oakland County (248) 423-5198
MARGARET A BAUER CRNA
Nurse Anesthetist, Certified Registered
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075
Oakland County (248) 423-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derosa Plastic Surgery, PLLC's NPI number?

The NPI number for Derosa Plastic Surgery, PLLC is 1144618075. It was assigned to this organization in the NPPES registry on December 30, 2014.

Where is Derosa Plastic Surgery, PLLC located?

Derosa Plastic Surgery, PLLC is located at 22401 Foster Winter Dr, Southfield, MI 48075. The listed phone number is (248) 688-7597.

What is Derosa Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

What insurance does Derosa Plastic Surgery, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Derosa Plastic Surgery, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derosa Plastic Surgery, PLLC was last updated on June 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.