Dr. John J Iacobucci , MD
Surgery - Plastic and Reconstructive Surgery • Grand Rapids, MI
Professional Overview & Biography Verified Profile Summary
Dr. John Iacobucci, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Grand Rapids, MI. Practice services are available at 221 MICHIGAN ST NE STE 300 under active NPI credentials.
Practice Location & Contact Primary Location
221 Michigan St Ne Ste 300
Grand Rapids, MI 495032537
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Grand Rapids, MI
Practicing in Grand Rapids, MI (65 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2020-06-10NUCC Taxonomy Code: 2086S0122X
A surgeon who specializes in plastic and reconstructive surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Plastic Surgery
Doctor of Medicine (M.D.), Master of Science
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Plastic Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 221 MICHIGAN ST NE STE 300, GRAND RAPIDS, MI 495032537 (Tel: 6163911909)
Registered at 100 MICHIGAN ST NE # MC-845, GRAND RAPIDS, MI 495032560 (Tel: 6163911909)
NPI status registered as active in NPPES database
Registered at 550 CASCADE WEST PARKWAY SE SUITE 200, GRAND RAPIDS, MI 49546 (Tel: 6169740100)
Registered at 80 68TH STREET SE, GRAND RAPIDS, MI 49548 (Tel: 6169740100)
Recorded as JOHN IACOBUCCI, M.D.
Surgery (License #4301047493 in MI)
NPI status registered as active in NPPES database
Registered at 80 68TH STREET SE, GRAND RAPIDS, MI 49548 (Tel: 6169740100)
Registered at 4210 OAK FOREST CT L8, GRAND RAPIDS, MI 49546 (Tel: 6169740100)
Recorded as JOHN IACOBUCCI, M.D.
Surgery (License #4301047493 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
100 Michigan St Ne # Mc-845
Grand Rapids, MI 495032560
Phone: 6163911909
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