Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922002419 Individual Practitioner Male Practitioner

Dr. David Arthur Vanderwall , MD

Plastic Surgery • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. David Vanderwall, MD is a registered healthcare professional specializing in Plastic Surgery in Grand Rapids, MI. Practice services are available at 220 LYON ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

220 Lyon St Nw
Ste 700

Grand Rapids, MI 495032210

Telephone 6164514500
Fax 6164519077
Associated Practice Facility / Clinic
🏢 Plastic Surgery Associates Pc Facility NPI 1093899767

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

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MI 4301031976

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1800582 (MI)

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1003810425

Doctor of Medicine (M.D.)

Dr. David Alfonso , MD

Plastic Surgery

NPI 1093930190

Doctor of Medicine (M.D.)

NPI 1235133653

Doctor of Medicine (M.D.)

Dr. William Moore , MD

Plastic Surgery

NPI 1346244837

Doctor of Medicine (M.D.)

NPI 1447254867

Doctor of Medicine (M.D.)

Dr. John Renucci , MD

Plastic Surgery

NPI 1487659827

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 220 LYON ST NW, STE 700, GRAND RAPIDS, MI 495032210 (Tel: 6164514500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 220 LYON ST NW, STE 700, GRAND RAPIDS, MI 495032210 (Tel: 6164514500)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID VANDERWALL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #4301031976 in MI)

🟢
Initial NPI Registration & Enumeration June 13, 2005

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: 1922002419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

220 Lyon St Nw, Ste 700

Grand Rapids, MI 495032210

Phone: 6164514500

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.