Organization Active NPI

Premier Plastic Surgery,P.C.,F.a.C.S.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Grand Blanc, MI
National Provider Identifier
1669658563
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
Legal business name
PREMIER PLASTIC SURGERY,P.C.,F.A.C.S.
Practice address
9450 S Saginaw Rd Ste F
Grand Blanc, MI 48439-8206
Phone
(810) 606-8200
Fax
(810) 606-8282
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Ramotsumi M Makhene, MD
Title
Plastic Surgeon With Hand Specialty
Phone
(810) 606-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X Primary

Addresses

Primary practice location

9450 S Saginaw Rd Ste F
Grand Blanc, MI 48439-8206

Mailing address

PO Box 1232
Grand Blanc, MI 48480-3232
Phone (810) 606-8200

Other identifiers 7

IdentifierTypeStateIssuer
0986343OtherMIHP
50015979OtherMIHEALTH ALLIANCE PLAN
4250386MedicaidMI
C6904OtherMIMCARE
0250494OtherMIBN
1001506OtherMIMCLAREN HEALTH PLAN
0250494OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

9450 S Saginaw Rd
Ste I
Grand Blanc, MI 48439
Phone (810) 606-8200

9450 S Saginaw Rd
Ste F
Grand Blanc, MI 48439
Phone (810) 606-8200

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1669658563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1232",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484803232",
            "telephone_number": "810-606-8200",
            "fax_number": "810-606-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 S SAGINAW RD STE F",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398206",
            "telephone_number": "810-606-8200",
            "fax_number": "810-606-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PLASTIC SURGERY,P.C.,F.A.C.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "MAKHENE",
        "authorized_official_first_name": "RAMOTSUMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PLASTIC SURGEON WITH HAND SPECIALTY",
        "authorized_official_telephone_number": "810-606-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HP",
            "identifier": "0986343",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "50015979",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4250386",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C6904",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BN",
            "identifier": "0250494",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1001506",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0250494",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.