GENESIS PLASTIC SURGERY PC (NPI# 1407991680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407991680 |
| Entity Type | Organization |
| Organization Name | GENESIS PLASTIC SURGERY PC |
| Practice Address |
100 Westwoods Dr Liberty MO 64068 |
| Practice Telephone | 8167813371 |
| Practice Fax Number | 8167815167 |
| Mailing Telephone | 8167813371 |
| Mailing Fax Number | 8167815167 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRED E THOMPSON (OWNER) |
| Authorized Official Telephone | 8167813371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275808024 | Genesis Plastic Surgery PC | Clinic/Center | 100 Westwoods Dr., Liberty, MO 64068-1181 | 2012-03-13 |
| Street Address |
100 WESTWOODS DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073643573 | Frederick Eugene Thompson | Plastic Surgery | 100 Westwoods Dr, Liberty, MO 64068 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| 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 |
|---|---|---|---|---|
| 1073643573 | Frederick Eugene Thompson | Plastic Surgery | 100 Westwoods Dr, Liberty, MO 64068 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908364 | Hollie Ann Power | Plastic Surgery | 660 South Euclid Avenue, 1150 Nw Tower, Campus Bx 8238, Division of Plastic & Reconstructive Surgery, Washingto, St Louis, MO 63110 | 2017-05-02 |
| 1972954345 | Bryce Decidue Stash | Plastic Surgery | 1720 Chouteau Ave, Saint Louis, MO 63103-3112 | 2016-06-28 |
| 1457791543 | Chesterfield Plastic & Reconstructive Surgery LLC | Plastic Surgery | 111 Saint Lukes Center Dr Ste 46b, Chesterfield, MO 63017-3509 | 2013-07-03 |
| 1538505250 | Deniz Sarhaddi | Plastic Surgery | 17300 N Outer 40 Rd Ste 300, Chesterfield, MO 63005-1364 | 2013-05-21 |
| 1144577057 | Precision Plastic Surgery, PC St. Peters Office | Plastic Surgery | 70 Jungermann Circle, Ste 302, St. Peters, MO 63376 | 2012-08-09 |
| 1568750552 | Raghu Nandan | Plastic Surgery | 1229 E Seminole St Ste 330, Springfield, MO 65804-2227 | 2011-07-12 |
| 1972732089 | Michael Joseph Franco | Plastic Surgery | 4100 Forest Park Ave Apt 410, Saint Louis, MO 63108-2891 | 2009-07-09 |
| 1639304058 | Paul Rottler Md PC | Plastic Surgery | 13625 Big Bend Road, St. Louis, MO 63122-5568 | 2009-05-29 |
| 1083854004 | Melvin Nathan Abend | Plastic Surgery | 848 W 52nd Ter, Pob 30568, Kansas City, MO 64112-2322 | 2009-03-03 |
| 1578718474 | Plastic Surgery Concepts | Plastic Surgery | 1170b E Gannon Dr, Festus, MO 63028-2612 | 2008-11-20 |
| Find all providers with the same taxonomy | ||||
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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.