PLASTIC SURGERY OF KALAMAZOO,PC
NPI 1245452481
Specialist in Portage, MI

Q: What is Plastic Surgery Of Kalamazoo,pc's NPI number?

The NPI number for Plastic Surgery Of Kalamazoo,pc is 1245452481. It was assigned to this organization in the NPPES registry on May 3, 2007.

Q: What is Plastic Surgery Of Kalamazoo,pc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 03, 2007

7901 SOUTH 12TH STREET, SUITE 100, PORTAGE, MI 49024(269) 372-3000(269) 372-3500 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Plastic Surgery Of Kalamazoo,pc NPPES

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

PLASTIC SURGERY OF KALAMAZOO,PC (NPI 1245452481) is a healthcare organization registered as a specialist in Portage, Michigan and active in the NPI registry since May 2007. The organization lists Rose M Johnson, Manager, Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1245452481

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePLASTIC SURGERY OF KALAMAZOO,PC

Location Address7901 SOUTH 12TH STREET, SUITE 100Portage, MI 49024

Mailing Address7901 South 12th Street, Suite 100Portage, MI 49024 · (269) 372-3000 · Fax (269) 372-3500

Phone(269) 372-3000

Fax(269) 372-3500

Organization SubpartNo

Authorized OfficialRose M JohnsonManager, Patient Accounts · (269) 372-3000

Enumeration DateMay 3, 2007

Last NPPES UpdateJuly 21, 2022

✔ NPI 1245452481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

7901 SOUTH 12TH STREET, Portage, MI 49024

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Other Identifiers 2

Medicaid1920114MI

Medicaid1997100MI

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

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 Plastic Surgery Of Kalamazoo,pc's NPI number?

The NPI number for Plastic Surgery Of Kalamazoo,pc is 1245452481. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Plastic Surgery Of Kalamazoo,pc located?

Plastic Surgery Of Kalamazoo,pc is located at 7901 South 12th Street Suite 100, Portage, MI 49024. The listed phone number is (269) 372-3000.

What is Plastic Surgery Of Kalamazoo,pc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Plastic Surgery Of Kalamazoo,pc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.