Plastic and Reconstructive Eye Surgery PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PLASTIC AND RECONSTRUCTIVE EYE SURGERY PC

Practice address

2757 Leonard St NE
Grand Rapids, MI 49525-5807

Phone

(616) 942-6687

Fax

(616) 942-9797

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Lynn Meldrum, M.D.

Title

Owner President

Phone

(616) 942-6687

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Jasmina Bajric, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Grand Rapids, MI
  • NPI 1356638027

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Hannah Christine Dean, PA

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1043174956
  Medicare reassignment Care Compare group NPD
• Adam S Hassan, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Grand Rapids, MI
  • NPI 1477561140

  Ophthalmology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1417998337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255807",
            "telephone_number": "616-942-6687",
            "fax_number": "616-942-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255807",
            "telephone_number": "616-942-6687",
            "fax_number": "616-942-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC AND RECONSTRUCTIVE EYE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MELDRUM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "616-942-6687",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC7010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "180D117010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale Marshall Plapp, MD
• Andrew Plaska, MD
• Madison Plaska, FNP-BC
• Alison Kay Plasman, OT
• Susan Elizabeth Plasman, CTRS
• Plastic Surgery Associates PC
• Plastic Surgery Associates PC
• Plastic Surgery Specialists PLLC
• Plastic Surgery Specialists, PLLC
• Madison Louise Plate

• Ophthalmology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.