Organization Active NPI

Image by Design Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • Roseville, MI
National Provider Identifier
1265600464
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
IMAGE BY DESIGN PLASTIC SURGERY PLLC
Practice address
20905 E 12 Mile Rd
Ste 300
Roseville, MI 48066-6501
Phone
(586) 776-3223
Fax
(586) 776-6670
NPI assigned
Feb 11, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Melek R Kayser, MD
Title
Physician Owner
Phone
(586) 776-3223

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

NPPES NPI Registry

Primary practice location

20905 E 12 Mile Rd
Ste 300
Roseville, MI 48066-6501

Mailing address

20905 E 12 Mile Rd
Ste 300
Roseville, MI 48066-6501
Phone (586) 776-3223

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2008.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1265600464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 E 12 MILE RD",
            "address_2": "STE 300",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666501",
            "telephone_number": "586-776-3223",
            "fax_number": "586-776-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 E 12 MILE RD",
            "address_2": "STE 300",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666501",
            "telephone_number": "586-776-3223",
            "fax_number": "586-776-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE BY DESIGN PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "KAYSER",
        "authorized_official_first_name": "MELEK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "586-776-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.