Grand Rapids Plastic Surgery PLC
NPI 1760654602 · Plastic Surgery Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Rapids Plastic Surgery PLC is a Plastic Surgery Physician organization in Grand Rapids, MI (NPI 1760654602).
Provider details
- NPI number
- 1760654602
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carol Fewless, Practice Administrator(616) 454-1256
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
- Centre for Plastic Surgery
Registry dates
- Enumerated
- 2008-04-01
- Last updated
- 2013-07-31
Frequently asked questions
- What is Grand Rapids Plastic Surgery PLC's NPI number?
- Grand Rapids Plastic Surgery PLC's National Provider Identifier (NPI) is 1760654602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Rapids Plastic Surgery PLC?
- Grand Rapids Plastic Surgery PLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Rapids Plastic Surgery PLC located?
- Grand Rapids Plastic Surgery PLC's practice location on file with NPPES is 2060 East Paris Ave Se, Grand Rapids, MI 49546.
- What is Grand Rapids Plastic Surgery PLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Rapids Plastic Surgery PLC is (616) 454-1256.
- Does Grand Rapids Plastic Surgery PLC accept Medicare?
- Grand Rapids Plastic Surgery PLC 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 Grand Rapids Plastic Surgery PLC?
- The authorized official listed on Grand Rapids Plastic Surgery PLC's NPPES record is Carol Fewless, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Rapids Plastic Surgery PLC's NPI active?
- Yes — Grand Rapids Plastic Surgery PLC's NPI (1760654602) is active in the NPPES registry as of the last update on 2013-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.