Plastic Surgery Specialists PLLC

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

4301061751 Issued in MI

Legal business name

PLASTIC SURGERY SPECIALISTS PLLC

Practice address

2060 E. Paris
Grand Rapids, MI 49646

Phone

(616) 464-4665

Fax

(616) 464-4666

NPI assigned

Dec 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew J Livingston, MD

Title

Owner

Phone

(616) 464-4665

Specialties & licenses 1

Addresses

Tax ID family

Plastic Surgery Specialists PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Plastic Surgery Specialists, PLLC

  • Plastic Surgery Physician
  • Grand Rapids, MI
  • NPI 1194979039
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1003061268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E. PARIS",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49646",
            "telephone_number": "616-464-4665",
            "fax_number": "616-464-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E. PARIS",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49646",
            "telephone_number": "616-464-4665",
            "fax_number": "616-464-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-464-4665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "4301061751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Kay Plasman, OT
• Susan Elizabeth Plasman, CTRS
• Plastic and Reconstructive Eye Surgery PC
• Plastic Surgery Associates PC
• Plastic Surgery Associates PC
• Plastic Surgery Specialists, PLLC
• Madison Louise Plate
• Christina Platko, PT, DPT, NCS
• Thomas C Platt, M.D.
• Raisa O Platte, MD

• Surgery of the Hand (Plastic Surgery) Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.