Grand Rapids Plastic Surgery PLC
NPI 1760654602ActiveOrganization· Plastic Surgery· Grand Rapids, MI
Plastic Surgery in Grand Rapids, Michigan, registered in NPPES in April 2008. The authorized official on file is Carol Jean Fewless, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760654602 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2008 |
| Last updated in NPPES | Jul 31, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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