ST LOUIS COSMETIC SURGERY – NPI #1205023405
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

ST LOUIS COSMETIC SURGERY is a surgeon located in CHESTERFIELD, MO. NPPES has assigned the NPI number 1205023405 to ST LOUIS COSMETIC SURGERY on October 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

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 ST LOUIS COSMETIC SURGERY below.

NPI Profile for
ST LOUIS COSMETIC SURGERY

NPI Number
1205023405
Enumeration Date

(more than 18 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
ST LOUIS COSMETIC SURGERY
Primary location
17300 N OUTER 40 RD
SUITE 300
CHESTERFIELD, MO 63005
Phone: (636) 530-6161 Fax: (636) 777-7500
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BETH BURTON
PRACTICE MANAGER
Phone: (636) 530-6161
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
MO 13172549

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.