DR. RICHAR49458751 B CHUSAK (NPI# 1265742449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265742449 |
| Entity Type | Individual |
| Full Name | DR. RICHAR49458751 B CHUSAK |
| Credential | M.D. |
| Practice Address |
3478 Bridgeland Dr Suite1 Bridgeton MO 63044-2619 |
| Mailing Address |
12773 Spruce Pond Dr Saint Louis MO 63131-1119 |
| Practice Telephone | 3149604929 |
| Mailing Telephone | 3149604929 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 33233 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3478 BRIDGELAND DR SUITE1 |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376647644 | Bruce Jay Berwald | Internal Medicine | 3478 Bridgeland Dr, Bridgeton, MO 63044-2619 | 2006-09-08 |
| 1619248853 | Chotchai Boonkham Md PC | Clinic/Center | 3478 Bridgeland Dr, Suite 1, Bridgeton, MO 63044-2619 | 2012-01-19 |
| 1609071455 | Michael T Katsev Dds PC | Dentist | 3478 Bridgeland Dr, Suite 3, Bridgeton, MO 63044-2619 | 2007-06-20 |
| 1548345838 | Berwald Surgical Medical Inc | Non-Pharmacy Dispensing Site | 3478 Bridgeland Dr, Ste 2, Bridgeton, MO 63044-2619 | 2006-10-26 |
| 1447334875 | Michael Theodore Katsev | Dentist | 3478 Bridgeland Dr, Bridgeton, MO 63044-2619 | 2006-10-24 |
| 1811084734 | David Morton Berwald | Surgery | 3478 Bridgeland Dr, Bridgeton, MO 63044-2619 | 2006-10-10 |
| 1417058959 | Chotchai Boonkham | Internal Medicine | 3478 Bridgeland Dr, Suite 1, Bridgeton, MO 63044-2619 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| 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 |
|---|---|---|---|---|
| 1215904214 | Wilfrido C Feliciano | Plastic Surgery | 12277 Depaul Drive, Suite 301s, Bridgeton, MO 63044 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908364 | Hollie Ann Power | Plastic Surgery | 660 South Euclid Avenue, 1150 Nw Tower, Campus Bx 8238, Division of Plastic & Reconstructive Surgery, Washingto, St Louis, MO 63110 | 2017-05-02 |
| 1972954345 | Bryce Decidue Stash | Plastic Surgery | 1720 Chouteau Ave, Saint Louis, MO 63103-3112 | 2016-06-28 |
| 1457791543 | Chesterfield Plastic & Reconstructive Surgery LLC | Plastic Surgery | 111 Saint Lukes Center Dr Ste 46b, Chesterfield, MO 63017-3509 | 2013-07-03 |
| 1538505250 | Deniz Sarhaddi | Plastic Surgery | 17300 N Outer 40 Rd Ste 300, Chesterfield, MO 63005-1364 | 2013-05-21 |
| 1144577057 | Precision Plastic Surgery, PC St. Peters Office | Plastic Surgery | 70 Jungermann Circle, Ste 302, St. Peters, MO 63376 | 2012-08-09 |
| 1568750552 | Raghu Nandan | Plastic Surgery | 1229 E Seminole St Ste 330, Springfield, MO 65804-2227 | 2011-07-12 |
| 1972732089 | Michael Joseph Franco | Plastic Surgery | 4100 Forest Park Ave Apt 410, Saint Louis, MO 63108-2891 | 2009-07-09 |
| 1639304058 | Paul Rottler Md PC | Plastic Surgery | 13625 Big Bend Road, St. Louis, MO 63122-5568 | 2009-05-29 |
| 1083854004 | Melvin Nathan Abend | Plastic Surgery | 848 W 52nd Ter, Pob 30568, Kansas City, MO 64112-2322 | 2009-03-03 |
| 1578718474 | Plastic Surgery Concepts | Plastic Surgery | 1170b E Gannon Dr, Festus, MO 63028-2612 | 2008-11-20 |
| Find all providers with the same taxonomy | ||||
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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.