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PLASTIC SURGERY ARTS OF WEST MICHIGAN
NPI 1467641373
Plastic Surgery in Holland, MI

Active since October 16, 2007CLIA 23D1041484 · Waiver
3124 N WELLNESS DRIVE, SUITE 10, HOLLAND, MI 49424(616) 738-5870(616) 738-5872 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plastic Surgery Arts Of West Michigan NPPES

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

PLASTIC SURGERY ARTS OF WEST MICHIGAN (NPI 1467641373) is a healthcare organization registered as a plastic surgery in Holland, Michigan and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Ryan E Dodde, President, as its authorized official.

NPPES Registry Identity

NPI1467641373
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameLAKESHORE PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES, P.C.
Location Address3124 N WELLNESS DRIVE, SUITE 10Holland, MI 49424-8121
Mailing Address3124 N Wellness Drive, Suite 10Holland, MI 49424-8121 · (616) 738-5870 · Fax (616) 738-5872
Phone(616) 738-5870
Fax(616) 738-5872
Organization SubpartNo
Authorized OfficialRyan E DoddePresident · (616) 738-5870
Enumeration DateOctober 16, 2007
Last NPPES UpdateJuly 21, 2022
✔ NPI 1467641373 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.
3124 N WELLNESS DRIVE, Holland, MI 49424
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Other Names 1

Doing Business AsPlastic Surgery Arts Of West Michigan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 23D1041484

Plastic Surgery Arts Of West Michigan · Holland, MI
Active · expires Jun 5, 2027
CLIA Number23D1041484
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorRyan E. Dodde II
Laboratory Phone(616) 738-5870
Laboratory LocationPlastic Surgery Arts Of West Michigan3124 N Wellness Drive Suite 10, Holland, MI 49424
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lakeshore Plastic And Reconstructive Surgery Associates, P.C.'s NPI number?

The NPI number for Lakeshore Plastic And Reconstructive Surgery Associates, P.C. is 1467641373. It was assigned to this organization in the NPPES registry on October 16, 2007. The provider is doing business as Plastic Surgery Arts Of West Michigan.

Where is Lakeshore Plastic And Reconstructive Surgery Associates, P.C. located?

Lakeshore Plastic And Reconstructive Surgery Associates, P.C. is located at 3124 N Wellness Drive Suite 10, Holland, MI 49424. The listed phone number is (616) 738-5870.

What is Lakeshore Plastic And Reconstructive Surgery Associates, P.C.'s specialty?

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

Does Lakeshore Plastic And Reconstructive Surgery Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1041484) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeshore Plastic And Reconstructive Surgery Associates, P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeshore Plastic And Reconstructive Surgery Associates, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeshore Plastic And Reconstructive Surgery Associates, P.C. 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.