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ADVANCED PLASTIC SURGERY, PC
NPI 1255003893
Plastic Surgery in Grand Rapids, MI

Active since October 01, 2021CLIA 23D2218739 · Waiver
3855 BURTON ST SE STE A, GRAND RAPIDS, MI 49546(616) 323-3102(616) 323-3061 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Plastic Surgery, Pc NPPES

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

ADVANCED PLASTIC SURGERY, PC (NPI 1255003893) is a healthcare organization registered as a plastic surgery in Grand Rapids, Michigan and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists Ewa D Komorowska-timek, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1255003893
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameADVANCED PLASTIC SURGERY, PC
Location Address3855 BURTON ST SE STE AGrand Rapids, MI 49546-6147
Mailing Address3855 Burton St Se Ste AGrand Rapids, MI 49546-6147 · (616) 323-3102 · Fax (616) 323-3061
Phone(616) 323-3102
Fax(616) 323-3061
Organization SubpartNo
Authorized OfficialEwa D Komorowska-timekPhysician Owner · (616) 323-3102
Enumeration DateOctober 1, 2021
NPPES CertifiedSeptember 15, 2021
✔ NPI 1255003893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
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.
3855 BURTON ST SE STE A, Grand Rapids, MI 49546
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2218739

Advanced Plastic Surgery · Grand Rapids, MI
Active · expires Mar 29, 2027
CLIA Number23D2218739
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorEwa Komorowska-Timek
Laboratory Phone(616) 323-3102
Laboratory LocationAdvanced Plastic Surgery3855 Burton Street SE Suite A, Grand Rapids, MI 49546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ADVANCED PLASTIC SURGERY, PC
Clinic/Center (Ambulatory Surgical)
3855 BURTON ST SE STE A
GRAND RAPIDS, MI 49546
Kent County (616) 323-3102
EWA D KOMOROWSKA-TIMEK MD
Surgery (Plastic and Reconstructive Surgery)
3855 BURTON ST SE STE A
GRAND RAPIDS, MI 49546
Kent County (616) 323-3102
ADVANCED PLASTIC SURGERY, PC
Plastic Surgery
3855 BURTON ST SE STE A
GRAND RAPIDS, MI 49546
Kent County (616) 323-3102

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 Advanced Plastic Surgery, PC's NPI number?

The NPI number for Advanced Plastic Surgery, PC is 1255003893. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Advanced Plastic Surgery, PC located?

Advanced Plastic Surgery, PC is located at 3855 Burton St SE Ste A, Grand Rapids, MI 49546. The listed phone number is (616) 323-3102.

What is Advanced Plastic Surgery, PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Advanced Plastic Surgery, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2218739) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Plastic Surgery, PC was last updated on October 1, 2021. 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.