CONCANNON PLASTIC SURGERY – NPI #1134333487
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

CONCANNON PLASTIC SURGERY is a surgeon located in COLUMBIA, MO. NPPES has assigned the NPI number 1134333487 to CONCANNON PLASTIC SURGERY on May 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONCANNON PLASTIC SURGERY” is a dba name, the actual legal business name for this organization is MATTHEW CONCANNON LLC. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 CONCANNON PLASTIC SURGERY below.

NPI Profile for
MATTHEW CONCANNON LLC

NPI Number
1134333487
Enumeration Date

(more than 19 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
MATTHEW CONCANNON LLC
Doing Business As (dba): CONCANNON PLASTIC SURGERY
Primary location
3115 FALLING LEAF CT
COLUMBIA, MO 65201-3579
Phone: (573) 449-5000 Fax: (573) 449-5010
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW CONCANNON
OWNER
Phone: (573) 449-5000
Updated
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
208600000X
- Surgery (Primary)
MO R7H73

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.