Active NPI
Image by Design Plastic Surgery PLLC
- Plastic and Reconstructive Surgery Physician
- Roseville, MI
National Provider Identifier
1265600464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.