PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC (NPI# 1063739159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063739159 |
| Entity Type | Organization |
| Organization Name | PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC |
| Practice Address |
1701 E Broadway Suite 304 Columbia MO 65201-8018 |
| Practice Telephone | 5738761700 |
| Practice Fax Number | 5738761705 |
| Mailing Telephone | 5738761700 |
| Mailing Fax Number | 5738761705 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |
| Authorized Official Name | RICHARD ROYER (ADMINISTRATOR) |
| Authorized Official Telephone | 5737771191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | R5577 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1701 E BROADWAY SUITE 304 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-8018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033104005 | James S. Denninghoff | Otolaryngology | 1701 E Broadway, Suite 304, Columbia, MO 65201-8018 | 2005-09-15 |
| 1033426895 | Garvey Lee Meyers | Pediatrics | 1701 E Broadway, Columbia, MO 65201-8018 | 2010-08-31 |
| 1215199369 | Sonya Addison | Internal Medicine | 1701 E Broadway, Ste 302, Columbia, MO 65201-8018 | 2008-06-30 |
| 1851506802 | John Richard Abel | Dentist | 1701 E Broadway, Sutie 106, Columbia, MO 65201-8018 | 2007-05-13 |
| 1285765974 | Michael Szewczyk | Preventive Medicine | 1701 E Broadway, Suite 204, Columbia, MO 65201-8018 | 2007-03-07 |
| 1366583056 | Michael Kaplan | Plastic Surgery | 1701 E Broadway, 304, Columbia, MO 65201-8018 | 2007-02-08 |
| 1205937265 | Christina Elaine Stixrud | Internal Medicine | 1701 E Broadway, Suite 203, Columbia, MO 65201-8018 | 2006-09-25 |
| 1902907967 | Christina E. Stixrud & Associates, M.d., P.C. | Pediatrics | 1701 E Broadway, Suite 203, Columbia, MO 65201-8018 | 2006-09-25 |
| 1811097686 | Jennifer Lynn Anderson | Dietitian, Registered | 1701 E Broadway, Columbia, MO 65201-8018 | 2006-09-22 |
| 1215922125 | Delia A Matias I | Pediatrics | 1701 E Broadway, Suite 205, Columbia, MO 65201-8018 | 2005-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574839 | Tarik Mujadzic | Plastic Surgery | Plastic Surgery, 2 Medical Park, Ste 300, Columbia, SC 29203 | 2019-05-28 |
| 1710166574 | Sarah A. Mess, Md, LLC | Plastic Surgery | 10700 Charter Dr Ste 330, Columbia, MD 21044-3695 | 2007-10-29 |
| 1629117700 | Gregory H Croll | Plastic Surgery | 1504 E Bdwy, Ste 214, Columbia, MO 65201 | 2007-02-06 |
| 1073667085 | Elliott Ho Chen | Plastic Surgery | 2 Medical Park Rd Ste 302, Columbia, SC 29203-6839 | 2007-01-23 |
| 1568476711 | Peter C Haines | Plastic Surgery | 300 Palmetto Health Pkwy Ste 100, Columbia, SC 29212-1761 | 2006-07-27 |
| 1336191931 | Richard J. Wassermann | Plastic Surgery | 1220 Blanding St, Columbia, SC 29201-2816 | 2006-05-16 |
| 1154394260 | Gregory Alan Sexton | Plastic Surgery | 1708 Laurel St, Columbia, SC 29201 | 2006-02-09 |
| 1972509925 | Donen Davis | Plastic Surgery | 1850 Laurel St, Ste B, Columbia, SC 29201-2627 | 2005-06-23 |
| 1144880337 | Branden Stephens | Plastic Surgery | 100 Matc, Columbia, MO 65203 | 2019-06-19 |
| 1689034548 | Providence Physician Practices LLC | Plastic Surgery | 1655 Bernardin Ave, Ste 110, Columbia, SC 29204-2039 | 2016-03-04 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.