MARISTELLA EVANGELISTA, MD, PC
NPI 1205795630
Plastic Surgery in Bloomfield Hills, MI
- Organization
- Plastic Surgery
About MARISTELLA EVANGELISTA, MD, PC
This page provides the complete NPI Profile along with additional information for Maristella Evangelista, Md, Pc, a provider established in Bloomfield Hills, Michigan operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1205795630 assigned on January 2026. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Travis Ommert (Cfo)
- NPI
- 1205795630 Verify this NPI
- Provider Name
- MARISTELLA EVANGELISTA, MD, PC
- Entity Type
- Organization
- Location Address
- 36880 WOODWARD AVE STE 203A BLOOMFIELD HILLS, MI 48304
- Location Phone
- (248) 329-3571
- Location Fax
- (248) 329-3572
- Mailing Address
- 1293 SOUTHFIELD RD BIRMINGHAM, MI 48009
- Mailing Phone
- (248) 329-3571
- Mailing Fax
- (248) 329-3572
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-21-2026
- Last Update Date
- 01-21-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205795630, enumerated as an "organization" on January 21, 2026.
The provider is located at 36880 WOODWARD AVE STE 203A BLOOMFIELD HILLS, MI 48304 and the phone number is (248) 329-3571.
Plastic Surgery with taxonomy code 208200000X.
