PLASTIC SURGERY CENTER OF ST JOSEPH, INC – NPI #1508862996
Clinic/Center

PLASTIC SURGERY CENTER OF ST JOSEPH, INC is an AHC clinic located in SAINT JOSEPH, MO. NPPES has assigned the NPI number 1508862996 to PLASTIC SURGERY CENTER OF ST JOSEPH, INC on June 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 11 years ago on Dec 31, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PLASTIC SURGERY CENTER OF ST JOSEPH, INC below.

NPI Profile for
PLASTIC SURGERY CENTER OF ST JOSEPH, INC

NPI Number
1508862996
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PLASTIC SURGERY CENTER OF ST JOSEPH, INC
Primary location
2111 N WOODBINE RD
SAINT JOSEPH, MO 64506-2440
Phone: (816) 364-6416 Fax: (816) 364-5320
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL DE PRIEST
MEDICAL DIRECTOR
Phone: (816) 364-6446
Updated
Identifiers

Identifiers for PLASTIC SURGERY CENTER OF ST JOSEPH, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSE NUMBERMO136-0
MEDICAIDMO509336905
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
MO 136-0

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.