AESTHETIC AND HAND SURGERY (NPI# 1184710709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184710709 |
Entity Type | Organization |
Organization Name | AESTHETIC AND HAND SURGERY |
Practice Address |
333 S. Kirkwood Rd. Suite 203 St. Louis MO 63122 |
Mailing Address |
333 S Kirkwood Rd Suite 203 Saint Louis MO 63122-6161 |
Practice Telephone | 3149848331 |
Practice Fax Number | 3148218377 |
Mailing Telephone | 3149848331 |
Mailing Fax Number | 3148218377 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-10-15 |
Authorized Official Name | DR. MICHELE D. KOO (OWNER) |
Authorized Official Telephone | 3149848331 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 2002007887 | MO | Allopathic & Osteopathic Physicians |
Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
102697 | MO | Allopathic & Osteopathic Physicians |
Street Address |
333 S. KIRKWOOD RD. SUITE 203 |
City | ST. LOUIS |
State | MO |
Zip Code | 63122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
Find all providers in zip 63122 |
Taxonomy Code | 2082S0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
Specialization | Surgery of the Hand |
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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 |
---|---|---|---|---|
1114193570 | Dana R Towle Md PC | Plastic Surgery | 4444 N Belleview Ave Ste 204, Kansas City, MO 64116-1507 | 2008-05-06 |
1639175029 | Michael D De Priest | Plastic Surgery | 2111 N Woodbine Rd, Saint Joseph, MO 64506-2440 | 2005-06-22 |
1225034531 | Dana R Towle | Plastic Surgery | 4444 N Belleview Ave, Ste 204, Kansas City, MO 64116-1507 | 2005-06-22 |
1205312741 | Jana Dengler | Plastic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-07-18 |
1932349792 | Vikas Dhawan | Plastic Surgery | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2009-03-05 |
1326156142 | Michele Koo | Plastic Surgery | 333 S Kirkwood Rd, Suite 203, Saint Louis, MO 63122-6161 | 2006-08-29 |
1942229596 | Stephen Hubbard Colbert | Plastic Surgery | 1 Hospital Dr, Columbia, MO 65212-0001 | 2006-07-18 |
1730105040 | Christine J Cheng | Plastic Surgery | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-07-14 |
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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.