Northern Michigan Cosmetic & Reconstructive Surgery Center P C

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

4301069604 Issued in MI

Legal business name

NORTHERN MICHIGAN COSMETIC & RECONSTRUCTIVE SURGERY CENTER P C

Practice address

560 W Mitchell St
Suite 360
Petoskey, MI 49770-2275

Phone

(231) 487-6070

Fax

(231) 487-6073

NPI assigned

Feb 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. William J Kane, MD

Title

Ceo

Phone

(231) 487-6070

Specialties & licenses 2

Addresses

Practitioners 1

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

• Laurie Ann Kane, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Los Angeles, CA
  • NPI 1730248956
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1255519237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 360",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-6070",
            "fax_number": "231-487-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 360",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-6070",
            "fax_number": "231-487-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN COSMETIC & RECONSTRUCTIVE SURGERY CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-487-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301069905",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301069604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Anesthesia Providers PC
• Northern Edge Institute of Rehabilitation
• Northern Family Medicine, PLLC
• Northern Imaging Associates P C
• Northern Michigan Allergy & Asthma Center, P.C.
• Northern Michigan Elder Care
• Northern Michigan Emergency Physicians, P.C
• Northern Michigan Hematology and Oncology
• Northern Michigan Medical Management
• Northern Michigan Musculoskeletal Medicine PLLC

• Plastic and Reconstructive Surgery Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Plastic and Reconstructive Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.