Soft Medical, PC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

089203 Issued in MI

Legal business name

SOFT MEDICAL, PC

Doing business as

Soft Cosmetic Lasar and Vein Center

Practice address

4455 Wilson Ave SW
Grandville, MI 49418-2366

Phone

(616) 532-7638

Fax

(616) 249-8346

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Colin Campbell Herd, MD

Title

President

Phone

(616) 532-7638

Specialties & licenses 1

Addresses

Other names 1

• Soft Cosmetic Lasar and Vein Center Doing business as

Locations

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1144554247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182366",
            "telephone_number": "616-532-7638",
            "fax_number": "616-249-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182366",
            "telephone_number": "616-532-7638",
            "fax_number": "616-249-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFT MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "HERD",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-532-7638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "089203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soft Cosmetic Lasar and Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Procedural Dermatology Physician in Grandville, MI
• Providers in Grandville, MI by specialty
• Procedural Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.