NORTHERN MICHIGAN PLASTIC SURGERY PC
NPI 1215460431
Plastic Surgery in Traverse City, MI
NPI Status: Active since April 05, 2017
Contact Information
4020 COPPER VW
SUITE 122
TRAVERSE CITY, MI
ZIP 49684
Phone: (515) 890-2357
Fax: (231) 943-2256
- Organization
- Plastic Surgery
- CLIA Number: 23D1020284
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 12-15-2027
About NORTHERN MICHIGAN PLASTIC SURGERY PC
This page provides the complete NPI Profile along with additional information for Northern Michigan Plastic Surgery Pc, a provider established in Traverse City, Michigan operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1215460431 assigned on April 2017. The practitioner's primary taxonomy code is 208200000X with license number 4301106729 (MI). The provider is registered as an organization and their NPI record was last updated 9 years 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 Dr. Kyle Reece Ver Steeg Ii Md (Owner)
- NPI
- 1215460431
- Provider Name
- NORTHERN MICHIGAN PLASTIC SURGERY PC
- Entity Type
- Organization
- Location Address
- 4020 COPPER VW SUITE 122 TRAVERSE CITY, MI 49684
- Location Phone
- (515) 890-2357
- Location Fax
- (231) 943-2256
- Mailing Address
- PO BOX 3140 GRAND RAPIDS, MI 49501
- Mailing Phone
- (616) 459-0898
- Mailing Fax
- (231) 943-2256
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-05-2017
- Last Update Date
- 04-05-2017
- 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
- License No.
- 4301106729
- License State
- MI
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1020284
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- December 16, 2025
- Certificate Expiration Date
- December 15, 2027
- Laboratory Director
- STEVEN V. THOMAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northern Michigan Plastic Surgery Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215460431, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215460431, enumerated as an "organization" on April 05, 2017.
The provider is located at 4020 COPPER VW SUITE 122 TRAVERSE CITY, MI 49684 and the phone number is (515) 890-2357.
Plastic Surgery with taxonomy code 208200000X.
