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JP CENTER FOR PLASTIC SURGERY PC
NPI 1316358385
Specialist in Traverse City, MI

Active since May 13, 2014
3529 WEST FRONT ST, JP CENTER FOR PLASTIC SURGERY PC, TRAVERSE CITY, MI 49684(708) 203-6090 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jp Center For Plastic Surgery Pc NPPES

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

JP CENTER FOR PLASTIC SURGERY PC (NPI 1316358385) is a healthcare organization registered as a specialist in Traverse City, Michigan and active in the NPI registry since May 2014. The organization lists John William Polley, President/plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1316358385
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJP CENTER FOR PLASTIC SURGERY PC
Location Address3529 WEST FRONT ST, JP CENTER FOR PLASTIC SURGERY PCTraverse City, MI 49684
Mailing Address3529 West Front St, Jp Center For Plastic Surgery PcTraverse City, MI 49684 · (708) 203-6090
Phone(708) 203-6090
Organization SubpartNo
Authorized OfficialJohn William PolleyPresident/plastic Surgeon · (708) 203-6090
Enumeration DateMay 13, 2014
Last NPPES UpdateJune 19, 2014
✔ NPI 1316358385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301403808
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.
3529 WEST FRONT ST, Traverse City, MI 49684
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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

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 Jp Center For Plastic Surgery PC's NPI number?

The NPI number for Jp Center For Plastic Surgery PC is 1316358385. It was assigned to this organization in the NPPES registry on May 13, 2014.

Where is Jp Center For Plastic Surgery PC located?

Jp Center For Plastic Surgery PC is located at 3529 West Front St Jp Center For Plastic Surgery PC, Traverse City, MI 49684. The listed phone number is (708) 203-6090.

What is Jp Center For Plastic Surgery 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 Jp Center For Plastic Surgery PC was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.