Maristella Evangelista, MD, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MARISTELLA EVANGELISTA, MD, PC

Doing business as

Stella Plastic Surgery

Practice address

36880 Woodward Ave Ste 203a
Bloomfield Hills, MI 48304-0921

Phone

(248) 329-3571

Fax

(248) 329-3572

NPI assigned

Jan 21, 2026

Last updated

Jan 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Ommert

Title

Cfo

Phone

(419) 351-4433

Specialties & licenses 1

Addresses

Other names 1

• Stella Plastic Surgery Doing business as

Locations

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1205795630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 SOUTHFIELD RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093081",
            "telephone_number": "248-329-3571",
            "fax_number": "248-329-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE STE 203A",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040921",
            "telephone_number": "248-329-3571",
            "fax_number": "248-329-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISTELLA EVANGELISTA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "OMMERT",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-351-4433"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stella Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plastic Surgery Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.