Aesthetic Surgery of Kalamazoo PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4301030660 Issued in MI

Legal business name

AESTHETIC SURGERY OF KALAMAZOO PC

Practice address

500 W Crosstown Prkwy
Kalamazoo, MI 49008-1995

Phone

(269) 343-1382

Fax

(269) 343-6759

NPI assigned

Mar 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank J Newman, MD

Title

President

Phone

(269) 343-1382

Specialties & licenses 1

Addresses

Other names 1

• Frank J Newman MD Other name

Locations

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326016395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CROSSTOWN PRKWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081995",
            "telephone_number": "269-343-1382",
            "fax_number": "269-343-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CROSSTOWN PRKWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081995",
            "telephone_number": "269-343-1382",
            "fax_number": "269-343-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SURGERY OF KALAMAZOO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-343-1382",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301030660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frank J Newman MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.