Active NPI
Plastic & Cosmetic Surgeons PC
- Plastic and Reconstructive Surgery Physician
- Lansing, MI
National Provider Identifier
1689777252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- GP069777
- Legal business name
- PLASTIC & COSMETIC SURGEONS PC
- Practice address
- 1219 East Saginaw Street
Lansing, MI 48906 - Phone
- (517) 485-3583
- Fax
- (517) 485-3942
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George P Poletes, MD
- Title
- Owner
- Phone
- (517) 485-3583
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | GP069777 | MI | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | GP069777 | MI | Primary |
Addresses
Primary practice location
1219 East Saginaw Street
Lansing, MI 48906
Mailing address
1219 East Saginaw Street
Lansing, MI 48906
Phone (517) 485-3583
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300066 | Other | MI | PHP |
| 24033111081 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1689777252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 EAST SAGINAW STREET",
"city": "LANSING",
"state": "MI",
"postal_code": "48906",
"telephone_number": "517-485-3583",
"fax_number": "517-485-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 EAST SAGINAW STREET",
"city": "LANSING",
"state": "MI",
"postal_code": "48906",
"telephone_number": "517-485-3583",
"fax_number": "517-485-3942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC & COSMETIC SURGEONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "POLETES",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-485-3583",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "MI",
"license": "GP069777",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MI",
"license": "GP069777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "1300066",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "24033111081",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.