PLASTIC SURGERY CONCEPTS, PC (NPI# 1114172913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114172913 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY CONCEPTS, PC |
| Practice Address |
2900 Lemay Ferry Rd Suite 225 Saint Louis MO 63125-3900 |
| Mailing Address |
11709 Old Ballas Rd Suite 201 Creve Coeur MO 63141-7029 |
| Practice Telephone | 3148944684 |
| Practice Fax Number | 3148920836 |
| Mailing Telephone | 3149978828 |
| Mailing Fax Number | 3144325105 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |
| Authorized Official Name | DR. THOMAS V. OLIVIER (OWNER) |
| Authorized Official Telephone | 3149978828 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 2001004855 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578718375 | Plastic Surgery Concepts, PC | Plastic Surgery | 10004 Kennerly Rd, Suite 137a, Saint Louis, MO 63128-2141 | 2008-11-20 |
| 1073729604 | Plastic Surgery Concepts, PC | Surgery | 13131 Tesson Ferry Rd, Suite 215, Saint Louis, MO 63128-3887 | 2007-05-14 |
| Street Address |
2900 LEMAY FERRY RD SUITE 225 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63125-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447336 | Laura Ruth Hulbert | Obstetrics & Gynecology | 2900 Lemay Ferry Rd, Suite 228, Saint Louis, MO 63125-3900 | 2005-06-16 |
| 1265892830 | Ams Medical Laboratory Inc | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Suite 205, Saint Louis, MO 63125-3900 | 2016-02-25 |
| 1083081426 | Triad Labs Inc | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Ste 205, Saint Louis, MO 63125-3900 | 2015-09-01 |
| 1922482496 | St. Anthony's Physician Organization | Internal Medicine | 2900 Lemay Ferry Rd, Ste 104, Saint Louis, MO 63125-3900 | 2015-07-15 |
| 1306252457 | Kimberly Manning | Nurse Practitioner | 2900 Lemay Ferry Rd, Ste 104, Saint Louis, MO 63125-3900 | 2014-07-09 |
| 1184055386 | Thyroid Specialty Laboratory Inc | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Suite 114, Saint Louis, MO 63125-3900 | 2013-12-13 |
| 1497185516 | Medcomp, LLC | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900 | 2013-11-27 |
| 1972859171 | Ams Medical Laboratory | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Suite 205, Saint Louis, MO 63125-3900 | 2012-07-25 |
| 1619238235 | St. Anthony's Physician Organization | Family Medicine | 2900 Lemay Ferry Rd, Suite 104, Saint Louis, MO 63125-3900 | 2012-05-30 |
| 1316258601 | Paul David Hansen | Internal Medicine | 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900 | 2010-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| 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 | 63125 |
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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.