Individual provider Active NPI

Marguerite E Aitken, M.D.

  • Plastic Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1982609095
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301074161 Issued in MI
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4676126MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 1456300300, 3 clinicians

Practice addresses (Care Compare)

220 Lyon St NW
Suite 700
Grand Rapids, MI 49503-2210
Phone (616) 451-4500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301074161MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Hospitals CurrentSince Jan 9, 2010 Accepting new patients
Spectrum Health Hospitals Current Accepting new patients
Plastic Surgery Associates PC Plastic Surgery CurrentSince Jan 1, 2005 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.

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

Verify at the official NPI Registry.