Organization Active NPI

R Sackeyfio Plastic Surgery, PC

  • Plastic Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1487101200
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301108439 Issued in MI
Legal business name
R SACKEYFIO PLASTIC SURGERY, PC
Practice address
1000 E Paris Ave SE
Suite 221
Grand Rapids, MI 49546-3691
Phone
(616) 222-0770
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Dr. Robyn Sackeyfio, M.D.
Title
President
Phone
(616) 644-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 4301108439 MI Primary

Addresses

Primary practice location

1000 E Paris Ave SE
Suite 221
Grand Rapids, MI 49546-3691

Mailing address

1000 E Paris Ave SE
Suite 221
Grand Rapids, MI 49546-3691
Phone (616) 222-0770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1487101200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "SUITE 221",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463691",
            "telephone_number": "616-222-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "SUITE 221",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463691",
            "telephone_number": "616-222-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R SACKEYFIO PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "SACKEYFIO",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-644-8602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301108439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.