OSAGE VALLEY PLASTIC SURGERY PC NPI 1245596501

NPI Information

  • NPI: 1245596501
  • Provider Name: OSAGE VALLEY PLASTIC SURGERY PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 985 EXECUTIVE DR
    OSAGE BEACH, MO
    ZIP 65065
  • Phone: (573) 348-4863

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NPI Details

OSAGE VALLEY PLASTIC SURGERY PC is a specialist in Osage Beach, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OSAGE VALLEY PLASTIC SURGERY PC NPI is 1245596501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

985 EXECUTIVE DR
OSAGE BEACH, MO
ZIP 65065-496
Phone: (573) 348-4863
Fax: (573) 348-4965

The provider's authorized official is David B Huang .
The authorized official title is Owner/operator and has the following contact phone number (573) 348-4863.

The enumeration date for this NPI number is 4/11/2012 and was last updated on 4/11/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMO109950MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H09684MEDICARE UPINMISSOURI
2204838908MEDICAIDMISSOURI

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: 11/21/2025

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