Peninsula Plastic and Reconstructive Surgery of Michigan

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PENINSULA PLASTIC AND RECONSTRUCTIVE SURGERY OF MICHIGAN

Practice address

47601 Grand River Ave Ste B233
Novi, MI 48374-1204

Phone

(248) 465-5499

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Rachel Perry

Title

Cred Coord

Phone

(586) 209-8307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Rebecca M Studinger, MD

  • Plastic and Reconstructive Surgery Physician
  • Novi, MI
  • NPI 1295946200
  Medicare reassignment NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1316774110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE STE B233",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741204",
            "telephone_number": "248-465-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE STE B233",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741204",
            "telephone_number": "248-465-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PLASTIC AND RECONSTRUCTIVE SURGERY OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CRED COORD",
        "authorized_official_telephone_number": "586-209-8307"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Peka
• Sarah Pelc Graca
• Megan Pell
• Pelvis and Acetabulum Surgical Specialists, PLLC
• Imelda Pena Ortiz
• Debra Pennell
• Meaghan Penning
• Konita Pennington
• Jeremy Pennock
• Tami Pennock

• Plastic Surgery Physician in Novi, MI
• Providers in Novi, 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, 2025; 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.