Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Leahthan Faye Domeshek, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1659683225

MS. Leahthan Faye Domeshek, MD is a Plastic and Reconstructive Surgery in Grand Rapids, Michigan. Graduated from Duke University School of Medicine in 2010, 16 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Colorado and Michigan.

Years since qualifying
16
Trained at
Duke University School of Medicine
Licensed in
CO, MI
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

35 Michigan St NE Ste 5201
Grand Rapids, MI 49503-2530
Phone: (616) 486-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery of the Hand (Plastic Surgery) Physician (primary) Taxonomy 2082S0105X · Licence 4301507922 (MI)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence DR.0060955 (CO)
Plastic Surgery Physician Taxonomy 208200000X · Licence 4301507922 (MI)

Record details

NPI number1659683225
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2010
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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