Active NPI
Karen Lynne Powers, MD
- Plastic Surgery Physician
- Saint Joseph, MI
National Provider Identifier
1558570580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 4301108662
- Practice address
- 3901 Stonegate Park
Suite 300
Saint Joseph, MI 49085-9137 - Phone
- (269) 556-6000
- NPI assigned
- May 22, 2007
- Last updated
- Jan 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 7665984-1205 | UT | |
| Plastic Surgery Physician | 208200000X | 4301108662 | MI | Primary |
Addresses
Primary practice location
3901 Stonegate Park
Suite 300
Saint Joseph, MI 49085-9137
Mailing address
3901 Stonegate Park
Suite 300
Saint Joseph, MI 49085-9137
Phone (269) 556-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558570580 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Plastic Surgery Associates | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic Surgery Physician
- Salt Lake City, UT
- NPI 1326057258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1558570580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 STONEGATE PARK",
"address_2": "SUITE 300",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859137",
"telephone_number": "269-556-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 STONEGATE PARK",
"address_2": "SUITE 300",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859137",
"telephone_number": "269-556-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "KAREN",
"middle_name": "LYNNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "UT",
"license": "7665984-1205",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MI",
"license": "4301108662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558570580",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.