Active NPI
Karen Eshraghi, MD Lake of the Ozarks, LLC
- Dermatology Physician
- Osage Beach, MO
National Provider Identifier
1003003872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- KAREN ESHRAGHI, MD LAKE OF THE OZARKS, LLC
- Practice address
- 5721 Osage Beach Pkwy Ste 100
Osage Beach, MO 65065-3030 - Phone
- (573) 302-4696
- Fax
- (573) 302-4698
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Eshraghi, MD
- Title
- Owner
- Phone
- (573) 302-4696
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
5721 Osage Beach Pkwy Ste 100
Osage Beach, MO 65065-3030
Mailing address
5721 Osage Beach Pkwy Ste 100
Osage Beach, MO 65065-3030
Phone (573) 302-4696
National Provider Directory
National Provider DirectoryLocations
851 E 5th St
Ste 160
Washington, MO 63090
Phone (636) 239-8858
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Osage Beach, MO
- NPI 1942299326
-
- Family Nurse Practitioner
- Washington, MO
- NPI 1275610156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402358400000",
"number": "1003003872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5721 OSAGE BEACH PKWY STE 100",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653030",
"telephone_number": "573-302-4696",
"fax_number": "573-302-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 OSAGE BEACH PKWY STE 100",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653030",
"telephone_number": "573-302-4696",
"fax_number": "573-302-4698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN ESHRAGHI, MD LAKE OF THE OZARKS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2014-06-10",
"status": "A",
"authorized_official_last_name": "ESHRAGHI",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-302-4696",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.