Michael B Gellis MD PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MICHAEL B GELLIS MD PC

Practice address

36800 Woodward Avenue
Suite 109
Bloomfield Hills, MI 48304-0916

Phone

(248) 642-4846

Fax

(248) 642-5313

NPI assigned

Sep 29, 2009

Last updated

Mar 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Barry Gellis, MDNPI 1508997032

Title

President

Phone

(248) 642-4846

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Barry Gellis, M.D.

  • Plastic Surgery Physician
  • Jackson, MI
  • NPI 1508997032
  Authorized official Same address or phone

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1659605251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36800 WOODWARD AVENUE",
            "address_2": "SUITE 109",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040916",
            "telephone_number": "248-642-4846",
            "fax_number": "248-642-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 WOODWARD AVENUE",
            "address_2": "SUITE 109",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040916",
            "telephone_number": "248-642-4846",
            "fax_number": "248-642-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B GELLIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "GELLIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-642-4846",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Mersol-Barg, MD
• Kutub H Mesiwala, M.D.
• Mark W. Metalski, LLP
• Brandon Metcalf, PA-C
• Mi Swift Rides LLC
• Michael J. Short MD and Associates PC
• Melody Anne Michelon
• Kristin Michelson, MSW
• Michigan Comprehensive Health Services, Inc. (robert levin)
• Michigan Consulting and Diagnostics LLC

• Plastic and Reconstructive Surgery Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Plastic and Reconstructive Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.