THE CENTER FOR PLASTIC SURGERY AT COPPER RIDGE
NPI 1356563654
Specialist in Traverse City, MI
NPI Status: Active since May 03, 2007
Contact Information
4110 COPPER RIDGE DR
SUITE 242
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 929-7700
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 23D2149527
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-04-2026
About THE CENTER FOR PLASTIC SURGERY AT COPPER RIDGE
This page provides the complete NPI Profile along with additional information for The Center For Plastic Surgery At Copper Ridge, a provider established in Traverse City, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1356563654 assigned on May 2007. The practitioner's primary taxonomy code is 174400000X with license number 4301054838 (MI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as The Center For Plastic Surgery At Copper Ridge. The authorized official of this NPI record is Christopher Jeffries (Owner)
- NPI
- 1356563654
- Provider Legal Name
- THE CENTER FOR PLASTIC SURGERY OF NORTHERN MICHIGAN
- Other Organization Name
- THE CENTER FOR PLASTIC SURGERY AT COPPER RIDGE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4110 COPPER RIDGE DR SUITE 242 TRAVERSE CITY, MI 49684
- Location Phone
- (231) 929-7700
- Mailing Address
- 4110 COPPER RIDGE DR SUITE 242 TRAVERSE CITY, MI 49684
- Mailing Phone
- (231) 929-7700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-03-2007
- Last Update Date
- 05-13-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 4301054838
- License State
- MI
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2402810801 | OTHER (01) | MI | BLUE CROSS BLUE SHIELD |
| 4859055 | MEDICAID (05) | MI | |
| 2402810801 | OTHER (01) | MI | BLUE CARE NETWORK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2149527
- Facility Type
- Physician Office
- Certificate Effective Date
- June 05, 2024
- Certificate Expiration Date
- June 04, 2026
- Laboratory Director
- CHRISTOPHER C. JEFFRIES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Center For Plastic Surgery At Copper Ridge to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for THE CENTER FOR PLASTIC SURGERY AT COPPER RIDGE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 5 | 6 | 3 | 6 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 10 | 6 | 6 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 0 + 6 + 6 + 6 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1356563654 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972750826 | BAY AREA ORAL & MAXILLOFACIAL SURGERY, P.C. Organization | Dentist (Oral and Maxillofacial Surgery) | 4110 COPPER RIDGE DR SUITE 210 TRAVERSE CITY, MI 49684 (231) 933-1220 |
| 1306819461 | STEVEN V THOMAS MD Individual | Plastic Surgery | 4110 COPPER RIDGE DR STE 242 BLDG D TRAVERSE CITY, MI 49684 (231) 929-7700 |
| 1255666970 | DR. ROBERT J LYONS D.C. Individual | Chiropractor | 4110 COPPER RIDGE DR STE. 210 TRAVERSE CITY, MI 49684 (231) 943-2229 |
| 1972834463 | DOUGLAS ALBRIGHT OT Individual | Occupational Therapist | 4110 COPPER RIDGE DR STE 202 TRAVERSE CITY, MI 49684 (231) 486-6138 |
| 1407898810 | KAREN A TOSIELLO PA-C Individual | Physician Assistant (Surgical) | 4110 COPPER RIDGE DR SUITE 242 TRAVERSE CITY, MI 49684 (231) 929-7700 |
| 1306003819 | DR. CHRISTOPHER CARSON JEFFRIES M.D. Individual | Plastic Surgery | 4110 COPPER RIDGE DR SUITE 242 TRAVERSE CITY, MI 49684 (231) 929-7700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356563654, enumerated in the NPI registry as an "organization" on May 03, 2007
The provider is located at 4110 Copper Ridge Dr Suite 242 Traverse City, Mi 49684 and the phone number is (231) 929-7700
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D2149527 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.