Organization Active NPI

Pointes Plastic Surgery Associates P C

  • Plastic Surgery Physician
  • Saint Clair Shores, MI
National Provider Identifier
1225217128
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
GG064416 Issued in MI
Legal business name
POINTES PLASTIC SURGERY ASSOCIATES P C
Practice address
22631 Greater Mack Ave
Suite 200
Saint Clair Shores, MI 48080-2055
Phone
(586) 773-6900
Fax
(586) 773-5851
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. George T Goffas, MDNPI 1982627196
Title
Vice President
Phone
(586) 773-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X GG064416 MI Primary

Addresses

Primary practice location

22631 Greater Mack Ave
Suite 200
Saint Clair Shores, MI 48080-2055

Mailing address

22631 Greater Mack Ave
Suite 200
Saint Clair Shores, MI 48080-2055
Phone (586) 773-6900

Other names 1

  • George Goffas MD PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110920000744 MI Part B Supplier - Clinic/Group Practice 8123299351 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

63 Kercheval Ave
Ste 202
Grosse Pointe Farms, MI 48236
Phone (313) 881-1440

22631 Greater Mack Ave
Ste 200
St Clr Shores, MI 48080
Phone (313) 886-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1225217128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22631 GREATER MACK AVE",
            "address_2": "SUITE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802055",
            "telephone_number": "586-773-6900",
            "fax_number": "586-773-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22631 GREATER MACK AVE",
            "address_2": "SUITE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802055",
            "telephone_number": "586-773-6900",
            "fax_number": "586-773-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTES PLASTIC SURGERY ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "GOFFAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "586-773-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "GG064416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George Goffas MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.