DR. PAUL D ROTTLER (NPI# 1104934124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104934124 |
| Entity Type | Individual |
| Full Name | DR. PAUL D ROTTLER |
| Credential | M.D. |
| Practice Address |
505 Couch Ave Suite 120 Saint Louis MO 63122-5568 |
| Practice Telephone | 3149668880 |
| Practice Fax Number | 3149665811 |
| Mailing Telephone | 3149668880 |
| Mailing Fax Number | 3149665811 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | R9G51 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
505 COUCH AVE SUITE 120 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639616519 | Karen Van Es | Occupational Therapy Assistant | 505 Couch Ave, Saint Louis, MO 63122-5577 | 2017-01-30 |
| 1073537379 | Mary M Lewis | Audiologist | 505 Couch Ave, #330, Saint Louis, MO 63122-5568 | 2006-07-27 |
| 1326060831 | Dale Furukawa | Internal Medicine | 505 Couch Ave, Suite 245, Saint Louis, MO 63122-5568 | 2006-07-24 |
| 1831186287 | Robert E Tucker | Orthopaedic Surgery | 505 Couch Ave, Saint Louis, MO 63122-5577 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972954345 | Bryce Decidue Stash | Plastic Surgery | 1720 Chouteau Ave, Saint Louis, MO 63103-3112 | 2016-06-28 |
| 1972732089 | Michael Joseph Franco | Plastic Surgery | 4100 Forest Park Ave Apt 410, Saint Louis, MO 63108-2891 | 2009-07-09 |
| 1942211065 | Midwest Plastic & Hand Surgery Inc | Plastic Surgery | 621 South New Ballas Road, Suite 6003b, Saint Louis, MO 63141 | 2006-08-11 |
| 1790766186 | Kamlesh B Patel | Plastic Surgery | 4921 Parkview Pl Ste 6g, Ste 6g, Saint Louis, MO 63110-1032 | 2005-11-11 |
| 1942811435 | Stahs Pripotnev | Plastic Surgery | 4921 Parkview Pl Ste 6g, Saint Louis, MO 63110-1032 | 2020-08-10 |
| 1821614652 | Erin Peterson | Plastic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-17 |
| 1871147876 | Blair Peters | Plastic Surgery | 4921 Parkview Pl Ste 6g, Saint Louis, MO 63110-1032 | 2019-07-29 |
| 1346801891 | Damini Tandon | Plastic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-25 |
| 1639739717 | Alexandra Marie Keane | Plastic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-19 |
| 1275027328 | Danielle Jere Brown | Plastic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-06-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.