NAYAK PLASTIC SURGERY, P.C. (NPI# 1396810982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396810982 |
| Entity Type | Organization |
| Organization Name | NAYAK PLASTIC SURGERY, P.C. |
| Practice Address |
607 S Lindbergh Blvd Saint Louis MO 63131-2734 |
| Practice Telephone | 3149915348 |
| Practice Fax Number | 3149912914 |
| Mailing Telephone | 3149915348 |
| Mailing Fax Number | 3149912914 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | LAXMEESH D NAYAK (PRESIDENT) |
| Authorized Official Telephone | 3149915348 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
2004004167 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
607 S LINDBERGH BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306811179 | Laxmeesh D Nayak | Otolaryngology | 607 S Lindbergh Blvd, Saint Louis, MO 63131-2734 | 2006-02-22 |
| 1821480575 | Racquel Frisella | Nurse Practitioner | 607 S Lindbergh Blvd, Saint Louis, MO 63131-2734 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730170507 | Frank Simo | Otolaryngology | 10448 Old Olive Street Rd Ste 200, Saint Louis, MO 63141-5927 | 2005-11-02 |
| 1265436711 | Robert Daniel Craig | Otolaryngology | 777 S New Ballas Rd, Ste 320e, Saint Louis, MO 63141-8789 | 2005-06-10 |
| 1023220910 | St Louis University | Otolaryngology | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-05-04 |
| 1598892838 | William H Friedman | Otolaryngology | 3023 N Ballas Rd, Suite 600d, Saint Louis, MO 63131-2330 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619057064 | Justin W. Roberts | Otolaryngology | 501 West Pine Street, Farmington, MO 63640 | 2006-10-17 |
| 1215938550 | Anthony Joseph D'angelo Jr. | Otolaryngology | 2315 Dougherty Ferry Road, Suite 103, St. Louis, MO 63122 | 2005-08-09 |
| 1154520757 | Nathan Seth Box | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804-1601 | 2007-07-13 |
| 1609925809 | Tamara Kay Ehlert | Otolaryngology | 522 N New Ballas Rd, Suite 300, Creve Coeur, MO 63141-6857 | 2007-01-09 |
| 1104911288 | Ear Nose & Throat & Plastic Surg Inc | Otolaryngology | 2315 Dougherty Ferry Road, Ste. 103, St. Louis, MO 63122 | 2006-10-04 |
| 1205825031 | Richard W Maack | Otolaryngology | 226 S Woods Mill Rd, Suite 37 West, Chesterfield, MO 63017-3662 | 2005-10-14 |
| 1386645463 | Richard Lee Barnes | Otolaryngology | 2315 Dougherty Ferry Road, Ste. 103, St. Louis, MO 63122 | 2005-08-10 |
| City | SAINT LOUIS |
| Zip Code | 63131 |
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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.