West Maple Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

WEST MAPLE PLASTIC SURGERY PLLC

Practice address

5807 W Maple Rd Ste 177
West Bloomfield, MI 48322-4483

Phone

(248) 865-6400

NPI assigned

Jul 21, 2025

Organization subpart

No

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

Authorized official

Name

Jeffrey Desano II, DONPI 1891108759

Title

Owner

Phone

(248) 797-9277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Jeffrey Thomas Desano II, D.O.

  • Plastic Surgery Physician
  • West Bloomfield, MI
  • NPI 1891108759
  Medicare reassignment NPD Authorized official
• Daniel D Sherbert, MD

  • Plastic Surgery Physician
  • West Bloomfield, MI
  • NPI 1124091434
  NPD (past)

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1578445698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD STE 177",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224483",
            "telephone_number": "248-865-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD STE 177",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224483",
            "telephone_number": "248-865-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MAPLE PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "DESANO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-797-9277",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Bloomfield Prompt Care-PLLC
• West Bloomfield Psychiatric Services PLLC
• West Bloomfield SNF LLC
• West Bloomfield Surgery Center, LLC
• West Broomfield Dialysis LLC
• West Oaks Dental Group
• West Oaks Dental Group, P.C.
• Rachel West
• Betty Jean Weymouth-Conger, L.M.S.W., CAAC
• White House Services

• Plastic Surgery Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.