Active NPI
Marguerite E Aitken, M.D.
- Plastic Surgery Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 4301074161
- Practice address
- 220 Lyon St NW
Ste 700
Grand Rapids, MI 49503-2210 - Phone
- (616) 451-4500
- Fax
- (616) 451-9077
- NPI assigned
- Jun 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 4301074161 | MI | Primary |
Addresses
Primary practice location
220 Lyon St NW
Ste 700
Grand Rapids, MI 49503-2210
Mailing address
220 Lyon St NW
Ste 700
Grand Rapids, MI 49503-2210
Phone (616) 451-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4676126 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050118000701 | MI | Practitioner - Plastic and Reconstructive Surgery | 0840249710 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Northwestern University Feinberg Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Plastic Surgery Associates PC
Practice addresses (Care Compare)
220 Lyon St NW
Suite 700
Grand Rapids, MI 49503-2210
Phone (616) 451-4500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301074161 | MI | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Hospitals | Current | Accepting new patients | |
| Spectrum Health Hospitals | Current | Accepting new patients | |
| Plastic Surgery Associates PC | Plastic Surgery | Current | Accepting new patients |
Locations
330 Barclay Ave NE
Ste 104
Grand Rapids, MI 49503
Phone (616) 267-9823
275 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7900
220 Lyon St NW
Ste 700
Grand Rapids, MI 49503
Phone (616) 451-4500
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
1208 W Oak St
Greenville, MI 48838
Phone (616) 225-6990
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Grand Rapids, MI
- NPI 1093899767
MI, Plastic Surgery
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982609095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 LYON ST NW",
"address_2": "STE 700",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032210",
"telephone_number": "616-451-4500",
"fax_number": "616-451-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 LYON ST NW",
"address_2": "STE 700",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032210",
"telephone_number": "616-451-4500",
"fax_number": "616-451-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AITKEN",
"first_name": "MARGUERITE",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MI",
"license": "4301074161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4676126",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.