Organization Active NPI

The Center for Aesthetics & Plastic Surgery S.C.

  • Plastic Surgery Physician
  • Neenah, WI
National Provider Identifier
1528053469
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
THE CENTER FOR AESTHETICS & PLASTIC SURGERY S.C.
Practice address
425 S Commercial St
Neenah, WI 54956-2526
Phone
(920) 725-0700
Fax
(920) 725-7978
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Todd M Van Ye, MD
Title
Owner
Phone
(920) 725-0700

Specialties & licenses 1

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

Addresses

Primary practice location

425 S Commercial St
Neenah, WI 54956-2526

Mailing address

425 S Commercial St
Neenah, WI 54956-2526
Phone (920) 725-0700

Other identifiers 1

IdentifierTypeStateIssuer
000071560OtherWIMEDICARE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1091942Center for Aesthetics & Plastic Surgery SC425 S Commercial St, Neenah, WI 54956Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Locations

1818 N Meade St
Ste 210
Appleton, WI 54911
Phone (920) 725-0700

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1528053469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562526",
            "telephone_number": "920-725-0700",
            "fax_number": "920-725-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562526",
            "telephone_number": "920-725-0700",
            "fax_number": "920-725-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR AESTHETICS & PLASTIC SURGERY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "VAN YE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-725-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000071560",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.