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Active NPI 1104407980 Individual Practitioner Male Practitioner

Dr. Reece Moore , MD

Plastic Surgery • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Reece Moore, MD is a registered healthcare professional specializing in Plastic Surgery in Grand Rapids, MI. Practice services are available at 275 MICHIGAN ST NE FL 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

275 Michigan St Ne Fl 9

Grand Rapids, MI 495032531

Telephone 8669897999
Associated Practice Facility / Clinic
🏢 Baldwin Family Health Care Facility NPI 1578181004

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.2 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
38 Specialists

Practicing in Grand Rapids, MI (186 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-12
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MI 4351049935

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

General Practice

NUCC Taxonomy Code: 208D00000X

State License MI 4301516607

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Secondary Practice Locations

96 Jonathan Lucas St

Charleston, SC 294258900

Phone: 7044941413

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1013544030

Doctor of Osteopathic Medicine (D.O.)

Ryan Grinnell , AT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1053989897

AT, Certified Athletic Trainer

Holly Hall , ATC

Specialist/Technologist - Athletic Trainer

NPI 1134518855

Certified Athletic Trainer

Dr. Juxhesta Cakrani , MD

Emergency Medicine

NPI 1215678297

Doctor of Medicine (M.D.)

NPI 1275947590

Doctor of Medicine (M.D.)

Ashley Oconnor , RRT

Respiratory Therapist, Registered

NPI 1417878125

Registered Respiratory Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 08, 2025

Registered at 275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 495032531 (Tel: 8669897999)

📍
Updated Business Mailing Address March 08, 2025

Registered at 275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 495032531

📍
Updated Practice Location June 17, 2022

Registered at 100 MICHIGAN ST NE, GRAND RAPIDS, MI 495032560 (Tel: 8669897999)

📍
Updated Business Mailing Address June 17, 2022

Registered at 1259 DUNHAM ST SE, GRAND RAPIDS, MI 495062629

👤
Provider Name / Credentials Updated June 17, 2022

Recorded as REECE MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2022

Plastic Surgery (License #4351049935 in MI)

NPI Profile Active April 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2021

Registered at 96 JONATHAN LUCAS ST, CHARLESTON, SC 294258900 (Tel: 7044941413)

📍
Updated Business Mailing Address April 14, 2021

Registered at 96 JONATHAN LUCAS ST, CHARLESTON, SC 294258900

👤
Provider Name / Credentials Updated April 14, 2021

Recorded as REECE MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104407980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2021
Last Update: May 12, 2026
Sole Proprietor: Yes

Mailing Address

275 Michigan St Ne Fl 9

Grand Rapids, MI 495032531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.