Lakeshore Plastic and Reconstructive Surgery Associates, P.C.
NPI 1467641373 · Plastic Surgery Physician · Holland, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeshore Plastic and Reconstructive Surgery Associates, P.C. is a Plastic Surgery Physician organization in Holland, MI (NPI 1467641373).
Provider details
- NPI number
- 1467641373
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Dodde, President(616) 738-5870
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
- Plastic Surgery Arts of West Michigan
Registry dates
- Enumerated
- 2007-10-16
- Last updated
- 2022-07-21
Frequently asked questions
- What is Lakeshore Plastic and Reconstructive Surgery Associates, P.C.'s NPI number?
- Lakeshore Plastic and Reconstructive Surgery Associates, P.C.'s National Provider Identifier (NPI) is 1467641373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Plastic and Reconstructive Surgery Associates, P.C.?
- Lakeshore Plastic and Reconstructive Surgery Associates, P.C. is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeshore Plastic and Reconstructive Surgery Associates, P.C. located?
- Lakeshore Plastic and Reconstructive Surgery Associates, P.C.'s practice location on file with NPPES is 3124 N Wellness Drive, Holland, MI 49424-8121.
- What is Lakeshore Plastic and Reconstructive Surgery Associates, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Plastic and Reconstructive Surgery Associates, P.C. is (616) 738-5870.
- Does Lakeshore Plastic and Reconstructive Surgery Associates, P.C. accept Medicare?
- Lakeshore Plastic and Reconstructive Surgery Associates, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeshore Plastic and Reconstructive Surgery Associates, P.C.?
- The authorized official listed on Lakeshore Plastic and Reconstructive Surgery Associates, P.C.'s NPPES record is Ryan Dodde, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Plastic and Reconstructive Surgery Associates, P.C.'s NPI active?
- Yes — Lakeshore Plastic and Reconstructive Surgery Associates, P.C.'s NPI (1467641373) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.