Maristella S Evangelista is a Plastic and Reconstructive Surgery Physician practicing in Detroit, Michigan. The National Provider Identifier (NPI) is #1962720821, which was assigned on May 17, 2010, and the registration record was last updated on June 30, 2025. The practitioner's main practice location is at 2799 W Grand Blvd, Detroit, MI 48202-2608; the contact telephone number is 3139162378. The primary taxonomy of Maristella S Evangelista is Plastic and Reconstructive Surgery Physician (2086S0122X), with specialization in Plastic and Reconstructive Surgery. Maristella S Evangelista is licensed to practice in the state of Ohio (#35127325), Michigan (#4301116571).
A surgeon who specializes in plastic and reconstructive surgery.
| NPI | 1962720821 |
| Entity Type | Individual |
| Provider Name | DR. MARISTELLA S EVANGELISTA |
| Gender | Female |
| Credential | MD |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Practice Telephone | 3139162378 |
| Mailing Address |
1293 Southfield Rd Birmingham MI 48009-3081 |
| Mailing Telephone | 7349457295 |
| Certification Date | 2025-06-30 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2025-06-30 |
| Is Sole Proprietor | N |
| PAC ID |
0648497040 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | MARISTELLA S EVANGELISTA |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Organization Legal Name | HENRY FORD HEALTH SYSTEM |
| Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 35127325 | OH | ||
| Y | 2086S0122X | Surgery | Plastic and Reconstructive Surgery | 4301116571 | MI |
| Code | 2086S0122X |
| Taxonomy | Plastic and Reconstructive Surgery Physician |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| Code | 208200000X |
| Taxonomy | Plastic Surgery Physician |
| Classification | Plastic Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Abraham Pathak, Md PLLC | 3020 Westchester Ave Ste 306, Purchase, NY 10577-2525 | Plastic and Reconstructive Surgery Physician | 2025-10-13 |
| Synergy Global Health Inc. | 9070 E Desert Cove Ave # A102, Scottsdale, AZ 85260-6227 | Plastic and Reconstructive Surgery Physician | 2025-06-17 |
| Body and Face Plastic Surgery | 1030 N Flowood Dr Ste A, Flowood, MS 39232-9532 | Plastic and Reconstructive Surgery Physician | 2025-08-27 |
| Baily Bellamy | 4510 Nw 6th Pl, Gainesville, FL 32607-6111 | Plastic and Reconstructive Surgery Physician | 2025-09-20 |
| Poudre Valley Medical Group, LLC | 3843 Rio Vista Dr Ste 2700, Colorado Springs, CO 80917-3379 | Plastic and Reconstructive Surgery Physician | 2025-07-09 |
| Peripheral Nerve Surgery PC | 570 Sylvan Ave Fl 2, Englewood Cliffs, NJ 07632-3132 | Plastic and Reconstructive Surgery Physician | 2025-10-21 |
| Elite Wound Care Md, LLC | 2023 N Mason Rd Ste 203, Katy, TX 77449-3779 | Plastic and Reconstructive Surgery Physician | 2025-06-20 |
| Cps Partners LLC | 5550 Friendship Blvd Ste 130, Chevy Chase, MD 20815-7201 | Plastic and Reconstructive Surgery Physician | 2025-09-30 |
| Synergyhealth360 PLLC | 9070 E Desert Cove Ave Ste 106, Scottsdale, AZ 85260-6228 | Plastic and Reconstructive Surgery Physician | 2025-06-30 |
| Alexander Chase Castillo | 6316 N 10th St, Mcallen, TX 78504-3599 | Plastic and Reconstructive Surgery Physician | 2025-08-20 |
| Find all providers with the same taxonomy | |||
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Rhiannon Marie-Heckel Boguszewicz | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Nurse Practitioner | 2025-09-30 |
| Anthony Yazbeck | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Student in an Organized Health Care Education/Training Program | 2025-06-24 |
| Kristen Morrison | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Occupational Therapist | 2025-10-02 |
| Joman Haffar | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Student in an Organized Health Care Education/Training Program | 2025-07-28 |
| Sandra Ghaly | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Pharmacist | 2025-06-19 |
| Promise Bomide | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Student in an Organized Health Care Education/Training Program | 2025-07-03 |
| Ali Saad Rizk | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Anatomic Pathology & Clinical Pathology Physician | 2025-08-21 |
| Xiaolan Fang | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Clinical Cytogenetics Physician | 2025-09-10 |
| Nicole Diane Langley | 2799 W Grand Blvd, Detroit, MI 48202-2608 | Certified Registered Nurse Anesthetist | 2025-08-25 |
| Mikyla Loryl Reesor | 2799 W Grand Blvd, Detroit, MI 48202 | Student in an Organized Health Care Education/Training Program | 2025-06-17 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Eleanor M. Walker | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | Radiation Oncology Physician | 2006-12-08 |
| Sheela Tejwani | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | Internal Medicine Physician | 2006-12-01 |
| Robert A. Chapman | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | Internal Medicine Physician | 2006-12-01 |
| Rohit Shenoy Ranjal | 2799 W. Grand Boulevard, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202-2608 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2017-04-10 |
| David W. Hudgel | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | Internal Medicine Physician | 2006-12-01 |
| Joshua Tear Gaudette | 2799 W. Grand Boulevard, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202-2608 | Diagnostic Radiology Physician | 2020-04-03 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Belinda Busogi | 3031 W Grand Blvd, Suite 600, Detroit, MI 48202 | Student in an Organized Health Care Education/Training Program | 2025-05-20 |
| Andrea G Ciaravino | Herny Ford, 2799 West Grand Blvd, Detroit, MI 48202 | Physician Assistant | 2008-10-10 |
| Robinetta Elizabeth Armstrong · Robinetta Elizabeth Burgan | 2799 West Grand Blvd., Detroit, MI 48202 | Acute Care Nurse Practitioner | 2013-07-10 |
| Katie Burlen-Davis | 9045 Woodward Ave, Detroit, MI 48202 | Family Nurse Practitioner | 2020-01-03 |
| Rita R. Clark | 7375 Woodward, Suite 1010, Detroit, MI 48202 | Social Worker | 2013-12-20 |
| Tony Awad · Anton Awad | 1 Ford Pl Ste 2e, Detroit, MI 48202 | Anesthesiology Physician | 2006-07-24 |
| Jorge A. Gutierrez | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | Neuropathology Physician | 2007-01-08 |
| Melissa Leigh Miller · Melissa Leigh Suchon | Henry Ford Hospital Cancer - 2800 W Grand Blvd, Detroit, MI 48202 | Nurse Practitioner | 2014-06-20 |
| Lisa Hill | 80 Webb Street, Detroit, MI 48202 | Case Manager/Care Coordinator | 2025-03-11 |
| John L. Carey | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | Immunopathology Physician | 2007-01-08 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Charlene Evangelista | 4733 Chabot Dr Ste 203, Pleasanton, CA 94588-3972 | Occupational Therapist | 2025-10-24 |
| Tiara Evangelista | 612 E Boulevard, Kokomo, IN 46902-2271 | Behavior Technician | 2025-03-11 |
| Tia Araceli Evangelista | 206 Bergen Ave, Kearny, NJ 07032-3384 | Physical Therapist | 2025-08-29 |
| Shelby Nicole Weeden Evangelista · Shelby Weeden Evangelista | 4629 Church St, Milton, FL 32583-4107 | Behavior Technician | 2022-04-17 |
| Amy Elizabeth Evangelista | 31098 Oakleaf Ln, Franklin, MI 48025-1262 | Speech-Language Pathologist | 2025-06-28 |
| Judi Evangelista | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | Marriage & Family Therapist | 2021-12-28 |
| Patrick Evangelista | 26895 Sw Mcleod St, Wilsonville, OR 97070-6815 | Family Nurse Practitioner | 2025-08-11 |
| Abigail A Evangelista | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | Student in an Organized Health Care Education/Training Program | 2022-04-30 |
| Deb Evangelista | 1700 Gaucho Ct, Longmont, CO 80504-8211 | Doula | 2025-04-17 |
| Zachary Payton Evangelista | 923 N Milpas St, Santa Barbara, CA 93103-2331 | Student in an Organized Health Care Education/Training Program | 2025-04-25 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |