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PLASTIC SURGERY CONCEPTS PC NPI 1073729604


NPI Information

NPI: 1073729604
Provider Name: PLASTIC SURGERY CONCEPTS, PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
13131 TESSON FERRY RD
SUITE 215
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 270-9680
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PLASTIC SURGERY CONCEPTS, PC is a plastic and reconstructive surgery surgery in Saint Louis, MO. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC SURGERY CONCEPTS, PC NPI is 1073729604. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13131 TESSON FERRY RD
SUITE 215
SAINT LOUIS, MO
ZIP 63128-887
Phone: (314) 270-9680
Fax: (314) 270-9681

The provider's authorized official is Thomas V. Olivier .
The authorized official title is Physician and has the following contact phone number (314) 997-8828.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 3/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery2001004855MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000014849MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.