Great Lakes Plastic Reconstructive & Hand Surgery P C
NPI 1336335785 · Plastic Surgery Physician · Portage, MI
Great Lakes Plastic Reconstructive & Hand Surgery P C is a Plastic Surgery Physician organization in Portage, MI (NPI 1336335785).
Provider details
- NPI number
- 1336335785
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raghuram Elluru, Managing Partner(269) 329-2900
- License
- RE07166 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Great Lakes Plastic and Hand Surgery
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2013-04-17
Frequently asked questions
- What is Great Lakes Plastic Reconstructive & Hand Surgery P C's NPI number?
- Great Lakes Plastic Reconstructive & Hand Surgery P C's National Provider Identifier (NPI) is 1336335785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Plastic Reconstructive & Hand Surgery P C?
- Great Lakes Plastic Reconstructive & Hand Surgery P C is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Plastic Reconstructive & Hand Surgery P C located?
- Great Lakes Plastic Reconstructive & Hand Surgery P C's practice location on file with NPPES is 7971 Moorsbridge Rd, Portage, MI 49024-4075.
- What is Great Lakes Plastic Reconstructive & Hand Surgery P C's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Plastic Reconstructive & Hand Surgery P C is (269) 329-2900.
- Who is the authorized official for Great Lakes Plastic Reconstructive & Hand Surgery P C?
- The authorized official listed on Great Lakes Plastic Reconstructive & Hand Surgery P C's NPPES record is Raghuram Elluru, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Plastic Reconstructive & Hand Surgery P C's NPI active?
- Yes — Great Lakes Plastic Reconstructive & Hand Surgery P C's NPI (1336335785) is active in the NPPES registry as of the last update on 2013-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.