ST LOUIS COSMETIC SURGERY (NPI# 1205023405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205023405 |
Entity Type | Organization |
Organization Name | ST LOUIS COSMETIC SURGERY |
Practice Address |
17300 N Outer 40 Rd Suite 300 Chesterfield MO 63005 |
Practice Telephone | 6365306161 |
Practice Fax Number | 6367777500 |
Mailing Telephone | 6365306161 |
Mailing Fax Number | 6367777500 |
Enumeration Date | 2007-10-02 |
Last Update Date | 2007-10-02 |
Authorized Official Name | MRS. BETH BURTON (PRACTICE MANAGER) |
Authorized Official Telephone | 6365306161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
13172549 | MO | Allopathic & Osteopathic Physicians |
Street Address |
17300 N OUTER 40 RD SUITE 300 |
City | CHESTERFIELD |
State | MO |
Zip Code | 63005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396728002 | Matthew Christian Bayes | Pediatrics | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1364 | 2005-11-28 |
1467073742 | Key Anesthesia Partners | Nurse Anesthetist, Certified Registered | 17300 N Outer 40 Rd, Chesterfield, MO 63005-1375 | 2020-04-28 |
1578917126 | Jessica Aschwege | Physical Therapist | 17300 N Outer 40 Rd, Suite 202, Chesterfield, MO 63005-1375 | 2016-04-20 |
1659784023 | Natalie Corzine | Behavioral Analyst | 17300 N Outer 40 Rd, Chesterfield, MO 63005-1364 | 2014-06-03 |
1891114526 | Michael V Oliveri | Clinical Neuropsychologist | 17300 N Outer 40 Rd, Suite 203, Chesterfield, MO 63005-1364 | 2014-04-09 |
1487076485 | Missouri Center for Reproductive Medicine, LLC | Obstetrics & Gynecology | 17300 N Outer 40 Rd, Suite 101, Chesterfield, MO 63005-1364 | 2014-01-09 |
1639500192 | Pediatric Neurodevelopmental Center LLC | Pediatrics | 17300 N Outer 40 Rd, Suite 205, Chesterfield, MO 63005-1364 | 2013-12-10 |
1821423385 | Excel Orthopedics LLC | Orthopaedic Surgery | 17300 N Outer 40 Rd, Suite 316, Chesterfield, MO 63005-1375 | 2013-09-03 |
1285986398 | Bluetail Medical Group, LLC. | Orthopaedic Surgery | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1375 | 2012-10-12 |
1427315431 | Michael Joseph Backer | Student in an Organized Health Care Education/Training Program | 17300 N Outer 40 Rd, Suite 103, Chesterfield, MO 63005-1375 | 2012-04-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
1265850556 | Richard George Rougeau | General Practice | 17679 Wildridge Drive, Wildwood, MO 63005 | 2014-04-03 |
1679912554 | Ceara M Barmeier | Physician Assistant | 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 | 2013-06-24 |
1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
1528334984 | Syed Tanveer Haider | Radiologic Technologist | 16502 Barrister Lane, Chesterfield, MO 63005 | 2012-03-29 |
1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
Find all providers in zip 63005 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285126060 | Ameya Atul Chumble | Surgery | 1 Hospital Dr Rm M349, Columbia, MO 65212-1000 | 2018-06-06 |
1689103053 | Angela Hulsey | Surgery | 1 Hospital Dr # M349, Columbia, MO 65212-1000 | 2017-06-08 |
1265813950 | Brandon Lambiris | Surgery | 1 Hospital Dr # Dc064.00, Division of Plastic Surgery, Columbia, MO 65212-1000 | 2015-06-18 |
1972923126 | Rafi Fredman | Surgery | 1551 Wall St Ste 420, Saint Charles, MO 63303-3541 | 2014-04-25 |
1497096820 | Ali A Arbab | Surgery | 10316 Prairie View Road, Kansas City, MO 64153 | 2013-03-11 |
1871781765 | Andrew J Kochevar | Surgery | 1229 E Seminole St Ste 340, Springfield, MO 65804 | 2007-10-04 |
1154527190 | Jonathan Amspacher | Surgery | 5204 N Belt Hwy, Saint Joseph, MO 64506-1211 | 2007-06-26 |
1073676755 | Parkcrest Plastic Surgery, Inc. | Surgery | 845 N. New Ballas Court, Suite 300, Saint Louis, MO 63141-7083 | 2006-12-18 |
1992895312 | Jeffrey A Goldstein | Surgery | 2401 Gilham Avenue, Kansas City, MO 64108 | 2006-10-14 |
1164536710 | Brock Davis Ridenour | Surgery | 12460 Olive Blvd, Suite 202, Saint Louis, MO 63141-6409 | 2006-08-19 |
Find all providers with the same taxonomy |
City | CHESTERFIELD |
Zip Code | 63005 |
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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.