GREAT LAKES PLASTIC AND HAND SURGERY
NPI 1336335785
Plastic Surgery in Portage, MI
NPI Status: Active since September 19, 2007
Contact Information
7971 MOORSBRIDGE RD
PORTAGE, MI
ZIP 49024
Phone: (269) 329-2900
Fax: (269) 329-1408
- Organization
- Plastic Surgery
- Accepts Insurance
About GREAT LAKES PLASTIC AND HAND SURGERY
This page provides the complete NPI Profile along with additional information for Great Lakes Plastic And Hand Surgery, a provider established in Portage, Michigan operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1336335785 assigned on September 2007. The practitioner's primary taxonomy code is 208200000X with license number RE07166 (MI). The provider is registered as an organization and their NPI record was last updated 13 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 provider's is doing business as Great Lakes Plastic And Hand Surgery. The authorized official of this NPI record is Dr. Raghuram G Elluru (Managing Partner)
- NPI
- 1336335785
- Provider Legal Name
- GREAT LAKES PLASTIC RECONSTRUCTIVE & HAND SURGERY P C
- Other Organization Name
- GREAT LAKES PLASTIC AND HAND SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7971 MOORSBRIDGE RD PORTAGE, MI 49024
- Location Phone
- (269) 329-2900
- Location Fax
- (269) 329-1408
- Mailing Address
- 7971 MOORSBRIDGE RD PORTAGE, MI 49024
- Mailing Phone
- (269) 329-2900
- Mailing Fax
- (269) 329-1408
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-19-2007
- Last Update Date
- 04-17-2013
- 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.
- RE07166
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1811994841 | OTHER (01) | MI | DR HOLLEY NPI |
| 103481443 | MEDICAID (05) | MI | |
| 0M68650 | MEDICARE PIN (08) | MI | |
| 1629075668 | OTHER (01) | MI | DR ELLURU NPI |
| 103481390 | MEDICAID (05) | MI | |
| 103481480 | MEDICAID (05) | MI | |
| 0C90475 | OTHER (01) | MI | BLUE CROSS/BLUE SHIELD |
| 103481434 | MEDICAID (05) | MI | |
| 0A30093 | OTHER (01) | MI | BLUE CROSS/BLUE SHIELD |
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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 1336335785, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
PORTAGE, MI 49024
PORTAGE, MI 49024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336335785, enumerated as an "organization" on September 19, 2007.
The provider is located at 7971 MOORSBRIDGE RD PORTAGE, MI 49024 and the phone number is (269) 329-2900.
Plastic Surgery with taxonomy code 208200000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
