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NPISignal

Individual Healthcare Provider

Karen M Buckley, MD

NPI Record: ActivePlastic Surgery
NPI1225094659
Portage, Michigan

Provider's NPPES record last updated: February 2, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1225094659
Primary Specialty
Plastic Surgery
Practice Location
Portage, Michigan
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 11:42 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Plastic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 208200000X
  • Surgery

    Plastic and Reconstructive Surgery

    Allopathic & Osteopathic Physicians

    A surgeon who specializes in plastic and reconstructive surgery.

    Taxonomy code 2086S0122X

Provider-Reported License Information

Plastic Surgery (Michigan)
4301505730
Surgery (New Jersey)
25MA06639100
Surgery (North Carolina)
2009-01735
Surgery (New York)
2170261
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

7901 S 12th St Ste 100

Portage, Michigan 49024-3831

Phone: (269) 372-3000

Additional Practice Location

517 Moye Blvd

Greenville, North Carolina 27834-2849

Phone: (252) 744-5291

Fax: (252) 744-5778

Record Information

Enumeration Date
April 25, 2006
Provider's NPPES Record Last Updated
February 2, 2022
Certification Date
February 2, 2022
NPISignal NPPES Dataset
August 2026

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