PAUL ROTTLER MD PC (NPI# 1639304058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639304058 |
| Entity Type | Organization |
| Organization Name | PAUL ROTTLER MD PC |
| Practice Address |
13625 Big Bend Road St. Louis MO 63122-5568 |
| Practice Telephone | 1314966888 |
| Practice Fax Number | 1314966581 |
| Mailing Telephone | 1314966888 |
| Mailing Fax Number | 1314966581 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-07-13 |
| Authorized Official Name | DR. PAUL ROTTLER (PRESIDENT) |
| Authorized Official Telephone | 1314966880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | R9G51 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE ID NUMBER | 000008690 | 01 |
| Street Address |
13625 BIG BEND ROAD |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63122-5568 |
| 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 | 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 |
|---|---|---|---|---|
| 1043559560 | Danielle Cooper | Plastic Surgery | 1 Barnes-jewish Hospital Plaza, St. Louis, MO 63110 | 2013-02-04 |
| 1912037433 | Mercy Clinic Burn and Plastic Surgery, LLC | Plastic Surgery | 621 S. New Ballas Road, Suite 7003-b, St. Louis, MO 63141-8275 | 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 |
| 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 |
| 1407991680 | Genesis Plastic Surgery PC | Plastic Surgery | 100 Westwoods Dr, Liberty, MO 64068 | 2007-02-21 |
| 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.