DR. STANLEY L LIBRACH (NPI# 1346342920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346342920 |
| Entity Type | Individual |
| Full Name | DR. STANLEY L LIBRACH |
| Credential | M.D. |
| Practice Address |
16216 Baxter Rd Ste 325 Chesterfield MO 63017-4771 |
| Practice Telephone | 3146994013 |
| Practice Fax Number | 3146994014 |
| Mailing Telephone | 3146994013 |
| Mailing Fax Number | 3146994014 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
014805 | MO | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
014805 | MO | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 105827 | MO | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 036086950 | IL | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 105827 | MO | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
105827 | MO | Allopathic & Osteopathic Physicians |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
105827 | MO | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
105827 | MO | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
105827 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 206971236 | 05 | |
| IL | 036086950 | 05 | |
| IL | BLUE SHIELD | 08232029 | 01 |
| MO | BLUE SHIELD | 122497 | 01 |
| Street Address |
16216 BAXTER RD STE 325 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-4771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034489 | Mark Charles Kory | Dermatology | 16216 Baxter Rd, Suite 200, Chesterfield, MO 63017-4770 | 2005-09-23 |
| 1477041168 | Sophia Elizabeth Wilhelmina Strydom | Behavioral Analyst | 16216 Baxter Rd, Chesterfield, MO 63017-4770 | 2018-04-27 |
| 1336674258 | Smartage LLC | Licensed Practical Nurse | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2017-04-28 |
| 1629517297 | Kelsey Sack | Speech-Language Pathologist | 16216 Baxter Rd, Chesterfield, MO 63017-4770 | 2017-02-15 |
| 1225587447 | Jesica Campbell | Nurse Practitioner | 16216 Baxter Rd, Suite 100, Chesterfield, MO 63017-4770 | 2016-09-29 |
| 1154779072 | Joseph L. Hollingsworth | Chiropractor | 16216 Baxter Rd, Ste 190, Chesterfield, MO 63017-4770 | 2016-06-01 |
| 1114394616 | Monica Uthlaut | Counselor | 16216 Baxter Rd, Ste. 205, Chesterfield, MO 63017-4770 | 2015-08-31 |
| 1568843001 | Danielle Ridolfi | Psychologist | 16216 Baxter Rd, Suite 205, Chesterfield, MO 63017-4770 | 2015-06-10 |
| 1457743734 | Chelsea Jacobs | Chiropractor | 16216 Baxter Rd, Suite 190, Chesterfield, MO 63017-4770 | 2015-02-24 |
| 1134522881 | Chesterfield Spine & Sports Medicine Center LLC | Physical Medicine & Rehabilitation | 16216 Baxter Rd, Suite 190, Chesterfield, MO 63017-4770 | 2014-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1760656607 | Judith Gurley Plastic Surgery, LLC | Plastic Surgery | 14825 N Outer 40, #350, Chesterfield, MO 63017-2152 | 2008-04-22 |
| 1942339429 | Richard L Kofkoff | Plastic Surgery | 16216 Baxter Rd, Suite 250, Chesterfield, MO 63017-4770 | 2007-03-02 |
| 1447396031 | Scott E Geiger | Plastic Surgery | 121 Saint Lukes Center Dr, Ste 404, Chesterfield, MO 63017-3518 | 2007-01-30 |
| 1184728784 | Precision Plastic Surgery PC | Plastic Surgery | 224 S Woods Mill Rd, Suite 450 South, Chesterfield, MO 63017-3513 | 2006-09-12 |
| 1336258177 | Gerald Lionelli | Plastic Surgery | 224 S Woods Mill Rd, Suite 450 South, Chesterfield, MO 63017-3513 | 2006-08-29 |
| 1982698551 | Robert Allen Young | Plastic Surgery | 224 S Woods Mill Rd, #400, Chesterfield, MO 63017-3451 | 2005-09-09 |
| 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 |
| 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 |
| 1407991680 | Genesis Plastic Surgery PC | Plastic Surgery | 100 Westwoods Dr, Liberty, MO 64068 | 2007-02-21 |
| 1629117700 | Gregory H Croll | Plastic Surgery | 1504 E Bdwy, Ste 214, Columbia, MO 65201 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.